Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $13.67 / $20.32	Facility		$10.93	$13.67	$20.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $8.65 / $34.95	Professional		$7.47	$8.65	$34.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $23.69 / $25.05	Facility		$19.59	$23.69	$25.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $37.70	Professional		$4.38	$4.38	$37.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.18 / $24.15 / $25.10	Facility		$6.18	$24.15	$25.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $29.48 / $45.23	Facility		$25.23	$29.48	$45.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $24.53 / $27.88	Professional		$10.33	$24.53	$27.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $7.92 / $10.93	Facility		$7.92	$7.92	$10.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $8.19 / $100.00	Facility		$7.47	$8.19	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $9.11 / $25.23	Professional		$5.47	$9.11	$25.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $17.42 / $85.00	Professional		$4.55	$17.42	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $7.92 / $10.93	Facility		$7.92	$7.92	$10.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $22.18 / $127.39	Professional		$10.87	$22.18	$127.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $18.22 / $100.00	Facility		$18.22	$18.22	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $5.88 / $8.61	Professional		$4.83	$5.88	$8.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $19.39 / $54.74	Professional		$19.39	$19.39	$54.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $49.74 / $54.74	Professional		$39.08	$49.74	$54.74
United Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $7.45 / $24.97	Professional		$5.28	$7.45	$24.97