Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.18 / $31.93 / $78.53	Facility		$17.18	$31.93	$78.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $11.74 / $19.66	Professional		$11.28	$11.74	$19.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $37.22 / $39.38	Facility		$30.79	$37.22	$39.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $6.39 / $58.62	Professional		$6.39	$6.39	$58.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $35.17 / $36.54	Facility		$9.56	$35.17	$36.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $14.32 / $14.32	Professional		$14.32	$14.32	$14.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $46.33 / $71.08	Facility		$39.65	$46.33	$71.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $38.57 / $43.83	Professional		$16.52	$38.57	$43.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $11.53 / $17.18	Facility		$11.53	$11.53	$17.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $14.32 / $80.00	Facility		$11.53	$14.32	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $14.32 / $42.38	Professional		$8.59	$14.32	$42.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $25.38 / $85.00	Professional		$7.16	$25.38	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $11.53 / $17.18	Facility		$11.53	$11.53	$17.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $34.85 / $48.40	Professional		$16.72	$34.85	$48.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.64 / $28.64 / $80.00	Facility		$28.64	$28.64	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.49 / $11.91	Professional		$7.59	$8.49	$11.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $30.50 / $41.20	Professional		$30.50	$30.50	$41.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $41.20 / $78.19	Professional		$41.20	$41.20	$78.19
United Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $11.51 / $31.23	Facility		$11.51	$11.51	$31.23
United Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $14.32 / $29.07	Professional		$7.77	$14.32	$29.07