Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $23.25 / $48.96	Facility		$18.60	$23.25	$48.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $13.51 / $18.60	Professional		$10.08	$13.51	$18.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $40.29 / $42.63	Facility		$33.33	$40.29	$42.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $64.13	Professional		$7.65	$7.65	$64.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $42.09 / $43.74	Facility		$10.33	$42.09	$43.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.35 / $49.49 / $75.92	Facility		$42.35	$49.49	$75.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $41.73 / $47.43	Professional		$17.76	$41.73	$47.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $13.81 / $18.60	Facility		$13.81	$13.81	$18.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $13.95 / $100.00	Facility		$12.71	$13.95	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $15.50 / $42.94	Professional		$9.10	$15.50	$42.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $42.78 / $85.00	Professional		$7.75	$42.78	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $13.81 / $18.60	Facility		$13.81	$13.81	$18.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $38.02 / $148.66	Professional		$18.94	$38.02	$148.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $31.00 / $100.00	Facility		$31.00	$31.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $10.29 / $15.16	Professional		$8.22	$10.29	$15.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $26.99 / $33.01	Professional		$26.99	$26.99	$33.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $26.99 / $84.63	Professional		$26.99	$26.99	$84.63
United Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $12.76 / $38.38	Professional		$7.75	$12.76	$38.38