Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.84 / $11.06 / $16.44	Facility		$8.84	$11.06	$16.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $7.00 / $28.97	Professional		$6.04	$7.00	$28.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.16 / $20.27	Facility		$15.85	$19.16	$20.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $3.64 / $30.49	Professional		$3.64	$3.64	$30.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $20.02 / $20.80	Facility		$5.03	$20.02	$20.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $24.22 / $37.15	Facility		$20.73	$24.22	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $19.84 / $22.55	Professional		$8.67	$19.84	$22.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.57 / $6.57 / $8.84	Facility		$6.57	$6.57	$8.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.04 / $6.63 / $100.00	Facility		$6.04	$6.63	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $7.37 / $20.41	Professional		$4.33	$7.37	$20.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $20.34 / $85.00	Professional		$3.69	$20.34	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.57 / $6.57 / $8.84	Facility		$6.57	$6.57	$8.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $18.22 / $87.89	Professional		$9.01	$18.22	$87.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $14.74 / $100.00	Facility		$14.74	$14.74	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $4.90 / $7.32	Professional		$3.91	$4.90	$7.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $7.58 / $15.69	Professional		$7.58	$7.58	$15.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $29.38 / $40.24	Professional		$7.58	$29.38	$40.24
United Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $6.02 / $16.55	Professional		$4.26	$6.02	$16.55