Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.96 / $17.45 / $25.93	Facility		$13.96	$17.45	$25.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $10.93 / $25.93	Professional		$8.96	$10.93	$25.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $30.24 / $31.98	Facility		$25.00	$30.24	$31.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $5.74 / $48.12	Professional		$5.74	$5.74	$48.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $31.60 / $32.84	Facility		$7.94	$31.60	$32.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $37.90 / $58.15	Facility		$32.44	$37.90	$58.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $31.32 / $35.59	Professional		$13.22	$31.32	$35.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $10.36 / $13.96	Facility		$10.36	$10.36	$13.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.53 / $10.47 / $100.00	Facility		$9.53	$10.47	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $11.63 / $32.22	Professional		$6.98	$11.63	$32.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $22.81 / $85.00	Professional		$5.82	$22.81	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $10.36 / $13.96	Facility		$10.36	$10.36	$13.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $28.51 / $116.18	Professional		$14.22	$28.51	$116.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.26 / $50.00 / $100.00	Facility		$23.26	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $7.68 / $11.50	Professional		$6.16	$7.68	$11.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $24.77	Professional		$11.97	$11.97	$24.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $46.38 / $63.50	Professional		$11.97	$46.38	$63.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $9.59 / $28.81	Professional		$6.75	$9.59	$28.81