Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $19.37 / $28.79	Facility		$15.49	$19.37	$28.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $12.26 / $46.59	Professional		$10.59	$12.26	$46.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $33.57 / $35.50	Facility		$27.76	$33.57	$35.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $5.85 / $53.42	Professional		$5.85	$5.85	$53.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $32.15 / $33.43	Facility		$8.65	$32.15	$33.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $41.07 / $63.00	Facility		$35.14	$41.07	$63.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $34.76 / $39.50	Professional		$14.87	$34.76	$39.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $10.55 / $15.49	Facility		$10.55	$10.55	$15.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $11.40 / $100.00	Facility		$10.55	$11.40	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $12.91 / $34.76	Professional		$7.49	$12.91	$34.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $23.22 / $85.00	Professional		$6.46	$23.22	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $10.55 / $15.49	Facility		$10.55	$10.55	$15.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $31.68 / $48.73	Professional		$15.20	$31.68	$48.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $25.82 / $100.00	Facility		$25.82	$25.82	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $7.84 / $11.50	Professional		$6.84	$7.84	$11.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $12.19 / $27.49	Professional		$12.19	$12.19	$27.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $13.17 / $70.48	Professional		$12.19	$13.17	$70.48
United Facility/Professional Facility Modifier Low / Median / High Price $12.91 / $12.91 / $12.91	Facility		$12.91	$12.91	$12.91
United Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $10.33 / $34.76	Professional		$6.95	$10.33	$34.76