Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $19.13 / $28.43	Facility		$15.30	$19.13	$28.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $12.11 / $45.73	Professional		$10.46	$12.11	$45.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $33.15 / $35.06	Facility		$27.41	$33.15	$35.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $5.74 / $52.71	Professional		$5.74	$5.74	$52.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $31.60 / $32.84	Facility		$8.52	$31.60	$32.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $41.07 / $63.00	Facility		$35.14	$41.07	$63.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $34.33 / $39.01	Professional		$14.46	$34.33	$39.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $10.36 / $15.30	Facility		$10.36	$10.36	$15.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $11.19 / $100.00	Facility		$10.36	$11.19	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $12.75 / $34.15	Professional		$7.40	$12.75	$34.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $35.19 / $85.00	Professional		$6.38	$35.19	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $10.36 / $15.30	Facility		$10.36	$10.36	$15.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $30.89 / $109.82	Professional		$14.82	$30.89	$109.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.50 / $50.00 / $100.00	Facility		$25.50	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.68 / $11.50	Professional		$6.76	$7.68	$11.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $27.15	Professional		$11.97	$11.97	$27.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $46.38 / $69.62	Professional		$11.97	$46.38	$69.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $10.19 / $28.81	Professional		$6.38	$10.19	$28.81