Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.76 / $21.70 / $26.18	Facility		$12.76	$21.70	$26.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $10.10 / $40.90	Professional		$8.72	$10.10	$40.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $27.64 / $29.23	Facility		$22.85	$27.64	$29.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $5.14 / $43.98	Professional		$5.14	$5.14	$43.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.22 / $28.25 / $29.36	Facility		$7.22	$28.25	$29.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.70 / $51.69	Facility		$28.84	$33.70	$51.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $28.62 / $32.53	Professional		$12.39	$28.62	$32.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $12.76	Facility		$9.27	$9.27	$12.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.72 / $9.57 / $100.00	Facility		$8.72	$9.57	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $10.63 / $29.45	Professional		$6.38	$10.63	$29.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $20.38 / $85.00	Professional		$5.32	$20.38	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $12.76	Facility		$9.27	$9.27	$12.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $26.14 / $46.12	Professional		$12.72	$26.14	$46.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $50.00 / $100.00	Facility		$21.26	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $6.86 / $10.19	Professional		$5.63	$6.86	$10.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $10.70 / $22.64	Professional		$10.70	$10.70	$22.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $10.70 / $58.04	Professional		$10.70	$10.70	$58.04
United Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $10.63 / $30.51	Professional		$6.38	$10.63	$30.51