Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $9.93 / $16.05	Facility		$8.64	$9.93	$16.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $6.84 / $29.52	Professional		$5.90	$6.84	$29.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $18.72 / $19.80	Facility		$15.48	$18.72	$19.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $3.56 / $29.79	Professional		$3.56	$3.56	$29.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $19.55 / $20.32	Facility		$4.91	$19.55	$20.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $23.17 / $35.54	Facility		$19.82	$23.17	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $19.39 / $22.04	Professional		$8.26	$19.39	$22.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.48 / $6.68 / $8.64	Facility		$6.48	$6.68	$8.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $6.68 / $100.00	Facility		$5.90	$6.68	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $7.20 / $20.87	Professional		$4.32	$7.20	$20.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $14.71 / $85.00	Professional		$3.60	$14.71	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.48 / $6.68 / $8.64	Facility		$6.48	$6.68	$8.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $17.42 / $29.66	Professional		$8.80	$17.42	$29.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $14.40 / $100.00	Facility		$14.40	$14.40	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $4.90 / $7.32	Professional		$3.82	$4.90	$7.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $7.73 / $15.33	Professional		$7.73	$7.73	$15.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $7.73 / $39.31	Professional		$7.73	$7.73	$39.31
United Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $6.29 / $19.94	Professional		$4.18	$6.29	$19.94