Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.10 / $23.93	Facility		$12.88	$16.10	$23.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $10.19 / $40.58	Professional		$8.80	$10.19	$40.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $27.90 / $29.51	Facility		$23.07	$27.90	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $44.40	Professional		$5.09	$5.09	$44.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.26 / $28.03 / $29.13	Facility		$7.26	$28.03	$29.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $34.75 / $53.31	Facility		$29.74	$34.75	$53.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $28.90 / $32.84	Professional		$12.39	$28.90	$32.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $9.19 / $12.88	Facility		$9.19	$9.19	$12.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.80 / $9.66 / $100.00	Facility		$8.80	$9.66	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $10.73 / $29.72	Professional		$6.22	$10.73	$29.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $36.42 / $85.00	Professional		$5.37	$36.42	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $9.19 / $12.88	Facility		$9.19	$9.19	$12.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $26.14 / $103.89	Professional		$12.62	$26.14	$103.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.46 / $21.46 / $100.00	Facility		$21.46	$21.46	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $6.86 / $10.19	Professional		$5.69	$6.86	$10.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $22.85	Professional		$10.62	$10.62	$22.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $41.15 / $58.59	Professional		$10.62	$41.15	$58.59
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.65 / $29.41	Professional		$5.37	$8.65	$29.41