Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $14.90 / $22.14	Facility		$11.92	$14.90	$22.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $9.43 / $29.92	Professional		$8.14	$9.43	$29.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.35 / $25.82 / $27.31	Facility		$21.35	$25.82	$27.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $3.97 / $40.51	Professional		$3.97	$3.97	$40.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $24.27 / $25.22	Facility		$5.71	$24.27	$25.22
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 $11.56 / $26.74 / $30.39	Professional		$11.56	$26.74	$30.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.78 / $7.32 / $11.92	Facility		$6.78	$7.32	$11.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.78 / $8.14 / $100.00	Facility		$6.78	$8.14	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $9.27 / $22.32	Professional		$5.76	$9.27	$22.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $14.90 / $85.00	Professional		$4.97	$14.90	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.78 / $7.32 / $11.92	Facility		$6.78	$7.32	$11.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $24.55 / $33.72	Professional		$11.78	$24.55	$33.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $19.86 / $100.00	Facility		$19.86	$19.86	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.09 / $7.32	Professional		$5.05	$5.09	$7.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $7.82 / $21.15	Professional		$7.82	$7.82	$21.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $33.88 / $54.22	Professional		$7.82	$33.88	$54.22
United Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $7.94 / $22.32	Professional		$5.36	$7.94	$22.32