Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.17 / $11.46 / $17.04	Facility		$9.17	$11.46	$17.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $7.26 / $29.03	Professional		$6.26	$7.26	$29.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $19.86 / $21.01	Facility		$16.43	$19.86	$21.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $3.65 / $31.61	Professional		$3.65	$3.65	$31.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $20.07 / $20.85	Facility		$5.18	$20.07	$20.85
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 $9.09 / $20.57 / $23.38	Professional		$9.09	$20.57	$23.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.57 / $6.57 / $9.17	Facility		$6.57	$6.57	$9.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $6.88 / $100.00	Facility		$6.26	$6.88	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $7.64 / $21.16	Professional		$4.43	$7.64	$21.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $14.47 / $85.00	Professional		$3.82	$14.47	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.57 / $6.57 / $9.17	Facility		$6.57	$6.57	$9.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $19.01 / $120.79	Professional		$9.11	$19.01	$120.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $15.28 / $100.00	Facility		$15.28	$15.28	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.90 / $7.32	Professional		$4.05	$4.90	$7.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $7.60 / $16.27	Professional		$7.60	$7.60	$16.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $37.25 / $41.71	Professional		$7.60	$37.25	$41.71
United Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $6.11 / $18.29	Professional		$4.00	$6.11	$18.29