Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $24.28 / $32.25	Facility		$17.35	$24.28	$32.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $10.45 / $17.35	Professional		$7.40	$10.45	$17.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $37.60 / $39.77	Facility		$31.09	$37.60	$39.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $5.78 / $58.99	Professional		$5.78	$5.78	$58.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $35.34 / $36.72	Facility		$9.05	$35.34	$36.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $46.33 / $71.08	Facility		$39.65	$46.33	$71.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $38.94 / $44.25	Professional		$16.93	$38.94	$44.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $8.18 / $17.35	Facility		$7.57	$8.18	$17.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $11.86 / $85.00	Facility		$7.57	$11.86	$85.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $11.57 / $26.03	Professional		$6.94	$11.57	$26.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $21.69 / $85.00	Professional		$7.23	$21.69	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $8.18 / $17.35	Facility		$7.57	$8.18	$17.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $35.64 / $55.76	Professional		$17.10	$35.64	$55.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.92 / $28.92 / $85.00	Facility		$28.92	$28.92	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $5.68 / $8.36	Professional		$5.55	$5.68	$8.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $8.74 / $30.79	Professional		$8.74	$8.74	$30.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $40.27 / $78.95	Professional		$8.74	$40.27	$78.95
United Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $11.57 / $31.38	Facility		$11.57	$11.57	$31.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $11.57 / $26.03	Professional		$6.20	$11.57	$26.03