Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $24.45 / $36.35	Facility		$19.55	$24.45	$36.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $15.32 / $19.55	Professional		$13.37	$15.32	$19.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $42.38 / $44.83	Facility		$35.04	$42.38	$44.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $6.52 / $65.20	Professional		$6.52	$6.52	$65.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.48 / $39.83 / $41.40	Facility		$8.48	$39.83	$41.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $52.65 / $80.77	Facility		$45.06	$52.65	$80.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $23.23 / $49.88	Professional		$17.73	$23.23	$49.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $3.48 / $19.55	Facility		$3.22	$3.48	$19.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $13.37 / $100.00	Facility		$3.22	$13.37	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $9.77 / $29.34	Professional		$2.98	$9.77	$29.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $24.45 / $85.00	Professional		$8.07	$24.45	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $3.48 / $19.55	Facility		$3.22	$3.48	$19.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $38.68 / $54.09	Professional		$19.00	$38.68	$54.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.60 / $32.60 / $100.00	Facility		$32.60	$32.60	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $2.45 / $3.66	Professional		$2.42	$2.45	$3.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $3.73 / $34.71	Professional		$3.73	$3.73	$34.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $14.44 / $89.00	Professional		$3.73	$14.44	$89.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $9.77 / $29.34	Professional		$3.05	$9.77	$29.34