Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.46 / $14.33 / $21.30	Facility		$11.46	$14.33	$21.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $9.07 / $27.89	Professional		$7.83	$9.07	$27.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $24.83 / $26.26	Facility		$20.53	$24.83	$26.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $4.03 / $38.97	Professional		$4.03	$4.03	$38.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.44 / $23.34 / $24.26	Facility		$6.44	$23.34	$24.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $30.54 / $46.85	Facility		$26.13	$30.54	$46.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $25.72 / $29.23	Professional		$11.15	$25.72	$29.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.32 / $6.83 / $11.46	Facility		$6.32	$6.83	$11.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.32 / $7.83 / $100.00	Facility		$6.32	$7.83	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $7.78 / $20.83	Professional		$5.18	$7.78	$20.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $14.33 / $85.00	Professional		$4.78	$14.33	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.32 / $6.83 / $11.46	Facility		$6.32	$6.83	$11.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $23.76 / $35.18	Professional		$11.40	$23.76	$35.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $50.00 / $100.00	Facility		$19.10	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $4.74 / $7.06	Professional		$4.74	$4.74	$7.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $7.30 / $20.34	Professional		$7.30	$7.30	$20.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $33.64 / $52.14	Professional		$7.30	$33.64	$52.14
United Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $5.99 / $20.83	Professional		$4.78	$5.99	$20.83