Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $15.14 / $22.50	Facility		$12.11	$15.14	$22.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $9.59 / $30.29	Professional		$8.27	$9.59	$30.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.69 / $26.23 / $27.75	Facility		$21.69	$26.23	$27.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $41.16	Professional		$4.04	$4.04	$41.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $24.66 / $25.63	Facility		$6.73	$24.66	$25.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $32.64 / $50.08	Facility		$27.93	$32.64	$50.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $27.17 / $30.88	Professional		$11.56	$27.17	$30.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $7.41 / $12.11	Facility		$6.86	$7.41	$12.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $8.27 / $84.57	Facility		$6.86	$8.27	$84.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $10.09 / $22.60	Professional		$5.85	$10.09	$22.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $15.14 / $85.00	Professional		$5.05	$15.14	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $7.41 / $12.11	Facility		$6.86	$7.41	$12.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $24.55 / $34.10	Professional		$11.78	$24.55	$34.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.18 / $20.18 / $84.57	Facility		$20.18	$20.18	$84.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.16 / $7.58	Professional		$5.05	$5.16	$7.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $11.08 / $21.49	Professional		$11.08	$11.08	$21.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $30.69 / $55.09	Professional		$11.08	$30.69	$55.09
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $8.07 / $22.60	Professional		$5.05	$8.07	$22.60