Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $38.36 / $80.50	Facility		$20.64	$38.36	$80.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $16.17 / $20.64	Professional		$14.10	$16.17	$20.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $44.72 / $47.30	Facility		$36.97	$44.72	$47.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $71.16	Professional		$8.50	$8.50	$71.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $46.73 / $48.56	Facility		$11.74	$46.73	$48.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $55.81 / $85.61	Facility		$47.76	$55.81	$85.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $46.32 / $52.64	Professional		$19.82	$46.32	$52.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $15.32 / $20.64	Facility		$15.32	$15.32	$20.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $15.48 / $100.00	Facility		$14.10	$15.48	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $17.20 / $47.64	Professional		$10.10	$17.20	$47.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $47.47 / $85.00	Professional		$8.60	$47.47	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $15.32 / $20.64	Facility		$15.32	$15.32	$20.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $41.98 / $128.72	Professional		$21.03	$41.98	$128.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $100.00	Facility		$34.40	$34.40	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $11.43 / $16.73	Professional		$9.11	$11.43	$16.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $36.63 / $88.32	Professional		$36.63	$36.63	$88.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $86.79 / $88.32 / $93.91	Professional		$86.79	$88.32	$93.91
United Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $17.20 / $17.20	Facility		$17.20	$17.20	$17.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $14.42 / $47.64	Professional		$8.60	$14.42	$47.64