Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $20.04 / $29.79	Facility		$16.03	$20.04	$29.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.69 / $33.86	Professional		$10.96	$12.69	$33.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.72 / $34.74 / $36.74	Facility		$28.72	$34.74	$36.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $54.50	Professional		$5.34	$5.34	$54.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $32.65 / $33.93	Facility		$8.61	$32.65	$33.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.17 / $66.23	Facility		$36.95	$43.17	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $35.97 / $40.89	Professional		$15.28	$35.97	$40.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $8.28 / $16.03	Facility		$7.67	$8.28	$16.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $10.96 / $100.00	Facility		$7.67	$10.96	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $12.03 / $25.26	Professional		$7.03	$12.03	$25.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $30.39 / $85.00	Professional		$6.68	$30.39	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $8.28 / $16.03	Facility		$7.67	$8.28	$16.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $32.47 / $79.06	Professional		$15.58	$32.47	$79.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.72 / $50.00 / $100.00	Facility		$26.72	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $5.76 / $8.36	Professional		$5.72	$5.76	$8.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $12.36 / $28.45	Professional		$12.36	$12.36	$28.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $41.14 / $72.95	Professional		$12.36	$41.14	$72.95
United Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $10.69 / $25.26	Professional		$6.68	$10.69	$25.26