Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $14.61 / $21.72	Facility		$11.69	$14.61	$21.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $9.25 / $33.83	Professional		$7.99	$9.25	$33.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.94 / $25.32 / $26.79	Facility		$20.94	$25.32	$26.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.25 / $39.72	Professional		$4.25	$4.25	$39.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $23.80 / $24.74	Facility		$6.50	$23.80	$24.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $31.59 / $48.46	Facility		$27.03	$31.59	$48.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $26.22 / $29.80	Professional		$11.15	$26.22	$29.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $7.79 / $11.69	Facility		$7.67	$7.79	$11.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $8.27 / $100.00	Facility		$7.67	$8.27	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $9.44 / $25.26	Professional		$5.84	$9.44	$25.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $16.88 / $85.00	Professional		$4.87	$16.88	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $7.79 / $11.69	Facility		$7.67	$7.79	$11.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $23.76 / $74.04	Professional		$11.40	$23.76	$74.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $50.00 / $100.00	Facility		$19.48	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $5.72 / $8.36	Professional		$5.16	$5.72	$8.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $20.74	Professional		$8.86	$8.86	$20.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $53.18	Professional		$8.86	$8.86	$53.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $7.27 / $21.32	Professional		$5.26	$7.27	$21.32