Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $12.62 / $18.75	Facility		$10.09	$12.62	$18.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $7.99 / $33.03	Professional		$6.90	$7.99	$33.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $21.87 / $23.13	Facility		$18.07	$21.87	$23.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $4.15 / $34.79	Professional		$4.15	$4.15	$34.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.74 / $22.83 / $23.72	Facility		$5.74	$22.83	$23.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $27.38 / $42.00	Facility		$23.43	$27.38	$42.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $22.65 / $25.74	Professional		$9.50	$22.65	$25.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.48 / $7.48 / $10.09	Facility		$7.48	$7.48	$10.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.90 / $7.57 / $100.00	Facility		$6.90	$7.57	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $8.41 / $23.30	Professional		$4.93	$8.41	$23.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $23.21 / $85.00	Professional		$4.21	$23.21	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.48 / $7.48 / $10.09	Facility		$7.48	$7.48	$10.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $20.59 / $34.47	Professional		$11.36	$20.59	$34.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $16.82 / $100.00	Facility		$16.82	$16.82	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.55 / $8.10	Professional		$4.46	$5.55	$8.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $8.65 / $17.91	Professional		$8.65	$8.65	$17.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $8.65 / $45.92	Professional		$8.65	$8.65	$45.92
United Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $7.04 / $23.05	Professional		$4.21	$7.04	$23.05