Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $19.50 / $24.86	Facility		$13.38	$19.50	$24.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $10.48 / $13.38	Professional		$9.14	$10.48	$13.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $28.99 / $30.66	Facility		$23.97	$28.99	$30.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $5.51 / $46.13	Professional		$5.51	$5.51	$46.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.61 / $30.28 / $31.47	Facility		$7.61	$30.28	$31.47
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 $12.80 / $30.03 / $34.13	Professional		$12.80	$30.03	$34.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $13.38	Facility		$9.94	$9.94	$13.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $10.03 / $100.00	Facility		$9.14	$10.03	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $11.15 / $30.89	Professional		$6.69	$11.15	$30.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $21.87 / $85.00	Professional		$5.58	$21.87	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $13.38	Facility		$9.94	$9.94	$13.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $26.93 / $98.81	Professional		$13.63	$26.93	$98.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $22.30 / $100.00	Facility		$22.30	$22.30	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $7.35 / $10.98	Professional		$5.91	$7.35	$10.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $23.74 / $59.07	Professional		$23.74	$23.74	$59.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $59.07 / $60.88	Professional		$44.47	$59.07	$60.88
United Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $9.35 / $32.72	Professional		$6.47	$9.35	$32.72