Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $28.40 / $42.21	Facility		$22.72	$28.40	$42.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $17.98 / $74.45	Professional		$15.52	$17.98	$74.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $49.22 / $52.06	Facility		$40.70	$49.22	$52.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $78.31	Professional		$9.35	$9.35	$78.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $51.42 / $53.44	Facility		$12.92	$51.42	$53.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $61.08 / $93.69	Facility		$52.27	$61.08	$93.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $50.97 / $57.93	Professional		$21.89	$50.97	$57.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.28 / $16.28 / $22.72	Facility		$16.28	$16.28	$22.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $16.28 / $123.00	Facility		$15.52	$16.28	$123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $18.93 / $52.44	Professional		$11.11	$18.93	$52.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $37.13 / $85.00	Professional		$9.47	$37.13	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.28 / $16.28 / $22.72	Facility		$16.28	$16.28	$22.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $46.73 / $173.53	Professional		$23.14	$46.73	$173.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $37.86 / $123.00	Facility		$37.86	$37.86	$123.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $12.57 / $18.55	Professional		$10.02	$12.57	$18.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $40.31	Professional		$19.48	$19.48	$40.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $75.47 / $103.36	Professional		$19.48	$75.47	$103.36
United Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $15.62 / $51.88	Professional		$9.47	$15.62	$51.88