Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.92 / $18.64 / $27.72	Facility		$14.92	$18.64	$27.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $11.81 / $31.86	Professional		$10.19	$11.81	$31.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.72 / $32.32 / $34.18	Facility		$26.72	$32.32	$34.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $5.61 / $50.70	Professional		$5.61	$5.61	$50.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $30.84 / $32.04	Facility		$8.32	$30.84	$32.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $40.02 / $61.38	Facility		$34.24	$40.02	$61.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $33.47 / $38.04	Professional		$14.04	$33.47	$38.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $10.11 / $14.92	Facility		$10.11	$10.11	$14.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $10.92 / $70.00	Facility		$10.11	$10.92	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $9.94 / $25.24	Professional		$6.22	$9.94	$25.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $18.64 / $85.00	Professional		$6.22	$18.64	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $10.11 / $14.92	Facility		$10.11	$10.11	$14.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $30.10 / $52.72	Professional		$14.44	$30.10	$52.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $50.00 / $70.00	Facility		$24.86	$50.00	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $7.51 / $11.24	Professional		$6.59	$7.51	$11.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $8.34 / $26.47	Professional		$8.34	$8.34	$26.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $8.34 / $67.87	Professional		$8.34	$8.34	$67.87
United Facility/Professional Facility Modifier Low / Median / High Price $14.92 / $14.92 / $14.92	Facility		$14.92	$14.92	$14.92
United Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $9.27 / $25.24	Professional		$5.92	$9.27	$25.24