Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $19.05 / $28.32	Facility		$15.24	$19.05	$28.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $12.07 / $17.44	Professional		$10.41	$12.07	$17.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.31 / $33.02 / $34.93	Facility		$27.31	$33.02	$34.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $7.62 / $51.81	Professional		$7.62	$7.62	$51.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.47 / $31.04 / $32.26	Facility		$8.47	$31.04	$32.26
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 $14.46 / $37.90 / $43.08	Professional		$14.46	$37.90	$43.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $9.65 / $15.24	Facility		$8.94	$9.65	$15.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $10.41 / $70.00	Facility		$8.94	$10.41	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $13.76 / $29.44	Professional		$7.62	$13.76	$29.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $19.66 / $85.00	Professional		$6.35	$19.66	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $9.65 / $15.24	Facility		$8.94	$9.65	$15.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $30.89 / $52.19	Professional		$14.82	$30.89	$52.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.40 / $25.40 / $70.00	Facility		$25.40	$25.40	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $6.70 / $9.93	Professional		$6.70	$6.70	$9.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $10.32 / $27.05	Professional		$10.32	$10.32	$27.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $39.99 / $69.34	Professional		$10.32	$39.99	$69.34
United Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $7.57 / $10.16	Facility		$7.57	$7.57	$10.16
United Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $12.70 / $26.01	Professional		$7.62	$12.70	$26.01