Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $10.95 / $16.28	Facility		$8.76	$10.95	$16.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $6.94 / $28.69	Professional		$5.99	$6.94	$28.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $18.98 / $20.07	Facility		$15.70	$18.98	$20.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $30.20	Professional		$3.60	$3.60	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.98 / $19.82 / $20.60	Facility		$4.98	$19.82	$20.60
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 $8.67 / $19.66 / $22.34	Professional		$8.67	$19.66	$22.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $6.50 / $8.76	Facility		$6.50	$6.50	$8.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.99 / $6.57 / $100.00	Facility		$5.99	$6.57	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $7.30 / $20.87	Professional		$4.38	$7.30	$20.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $14.31 / $85.00	Professional		$3.65	$14.31	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $6.50 / $8.76	Facility		$6.50	$6.50	$8.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $18.22 / $29.66	Professional		$8.92	$18.22	$29.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $14.60 / $100.00	Facility		$14.60	$14.60	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $4.74 / $7.06	Professional		$3.87	$4.74	$7.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $7.51 / $15.55	Professional		$7.51	$7.51	$15.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $7.51 / $39.86	Professional		$7.51	$7.51	$39.86
United Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $6.16 / $20.22	Professional		$4.23	$6.16	$20.22