Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $12.39 / $18.42	Facility		$9.91	$12.39	$18.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $7.85 / $28.69	Professional		$6.77	$7.85	$28.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $21.48 / $22.72	Facility		$17.76	$21.48	$22.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $33.69	Professional		$3.60	$3.60	$33.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.51 / $20.18 / $20.98	Facility		$5.51	$20.18	$20.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $26.33 / $40.38	Facility		$22.53	$26.33	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $22.24 / $25.28	Professional		$9.50	$22.24	$25.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $6.61 / $9.91	Facility		$6.50	$6.61	$9.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $7.03 / $100.00	Facility		$6.50	$7.03	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $8.26 / $21.42	Professional		$4.96	$8.26	$21.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $22.80 / $85.00	Professional		$4.13	$22.80	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $6.61 / $9.91	Facility		$6.50	$6.61	$9.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $20.59 / $92.26	Professional		$9.88	$20.59	$92.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $16.52 / $100.00	Facility		$16.52	$16.52	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.74 / $7.06	Professional		$4.38	$4.74	$7.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $7.51 / $17.59	Professional		$7.51	$7.51	$17.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $24.01 / $45.10	Professional		$7.51	$24.01	$45.10
United Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $6.61 / $21.42	Professional		$4.46	$6.61	$21.42