Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.51 / $16.89 / $25.11	Facility		$13.51	$16.89	$25.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $10.58 / $16.12	Professional		$9.23	$10.58	$16.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $29.28 / $30.97	Facility		$24.21	$29.28	$30.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $5.56 / $46.59	Professional		$5.56	$5.56	$46.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $30.58 / $31.78	Facility		$7.68	$30.58	$31.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $35.79 / $54.92	Facility		$30.64	$35.79	$54.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $30.32 / $34.45	Professional		$13.22	$30.32	$34.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $10.02 / $13.51	Facility		$10.02	$10.02	$13.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $10.13 / $100.00	Facility		$9.23	$10.13	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $11.26 / $31.19	Professional		$6.76	$11.26	$31.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $31.08 / $85.00	Professional		$5.63	$31.08	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $10.02 / $13.51	Facility		$10.02	$10.02	$13.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $27.72 / $38.50	Professional		$13.76	$27.72	$38.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $22.52 / $100.00	Facility		$22.52	$22.52	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $10.24 / $10.24	Professional		$7.35	$10.24	$10.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $11.58 / $23.98	Professional		$11.58	$11.58	$23.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $44.87 / $61.48	Professional		$11.58	$44.87	$61.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $11.26 / $30.86	Professional		$6.53	$11.26	$30.86