Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $25.89 / $122.90	Facility		$13.93	$25.89	$122.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $10.36 / $13.93	Professional		$8.94	$10.36	$13.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.96 / $30.19 / $31.93	Facility		$24.96	$30.19	$31.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $48.04	Professional		$5.73	$5.73	$48.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $31.53 / $32.77	Facility		$7.92	$31.53	$32.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $36.86 / $56.54	Facility		$31.54	$36.86	$56.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $31.26 / $35.53	Professional		$13.22	$31.26	$35.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $10.33 / $13.93	Facility		$10.33	$10.33	$13.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $11.16 / $137.50	Facility		$9.52	$11.16	$137.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $11.61 / $32.15	Professional		$6.80	$11.61	$32.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $22.74 / $85.00	Professional		$5.81	$22.74	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $10.33 / $13.93	Facility		$10.33	$10.33	$13.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $28.51 / $274.52	Professional		$14.19	$28.51	$274.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $23.22 / $137.50	Facility		$23.22	$23.22	$137.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $7.68 / $11.24	Professional		$6.15	$7.68	$11.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $24.72 / $210.64	Professional		$24.72	$24.72	$210.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $63.39 / $210.64	Professional		$46.27	$63.39	$210.64
United Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $9.55 / $31.82	Professional		$5.81	$9.55	$31.82