Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $25.67 / $38.15	Facility		$20.53	$25.67	$38.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $16.25 / $63.21	Professional		$14.03	$16.25	$63.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $44.49 / $47.05	Facility		$36.79	$44.49	$47.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $70.79	Professional		$7.94	$7.94	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $43.68 / $45.39	Facility		$11.52	$43.68	$45.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $54.76 / $84.00	Facility		$46.86	$54.76	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $46.08 / $52.36	Professional		$19.82	$46.08	$52.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $14.31 / $20.53	Facility		$14.31	$14.31	$20.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.03 / $15.40 / $100.00	Facility		$14.03	$15.40	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $17.11 / $47.15	Professional		$10.27	$17.11	$47.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $31.51 / $85.00	Professional		$8.56	$31.51	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $14.31 / $20.53	Facility		$14.31	$14.31	$20.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $41.98 / $58.30	Professional		$20.14	$41.98	$58.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.22 / $100.00	Facility		$34.22	$34.22	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $10.62 / $15.68	Professional		$9.07	$10.62	$15.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $36.44 / $42.44	Professional		$36.44	$36.44	$42.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $64.11 / $93.42	Professional		$42.44	$64.11	$93.42
United Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $12.13 / $13.69	Facility		$12.13	$12.13	$13.69
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $14.89 / $39.78	Professional		$9.65	$14.89	$39.78