Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $22.58 / $33.56	Facility		$18.05	$22.58	$33.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $13.42 / $18.05	Professional		$12.04	$13.42	$18.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $39.13 / $41.39	Facility		$32.36	$39.13	$41.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $62.27	Professional		$7.44	$7.44	$62.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.26 / $40.89 / $42.49	Facility		$9.26	$40.89	$42.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $48.44 / $74.31	Facility		$41.45	$48.44	$74.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $40.52 / $46.05	Professional		$17.35	$40.52	$46.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $13.41 / $18.05	Facility		$13.41	$13.41	$18.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $13.55 / $80.00	Facility		$12.34	$13.55	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $18.05 / $40.64	Professional		$9.02	$18.05	$40.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $53.14 / $85.00	Professional		$7.53	$53.14	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $13.41 / $18.05	Facility		$13.41	$13.41	$18.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $37.22 / $51.70	Professional		$18.39	$37.22	$51.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $30.10 / $80.00	Facility		$30.10	$30.10	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $9.96 / $14.59	Professional		$7.98	$9.96	$14.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $32.04 / $61.19	Professional		$32.04	$32.04	$61.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $61.19 / $82.17	Professional		$61.19	$61.19	$82.17
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $15.05 / $40.64	Professional		$9.02	$15.05	$40.64