Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.25 / $11.57 / $17.19	Facility		$9.25	$11.57	$17.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $7.32 / $34.78	Professional		$6.32	$7.32	$34.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $20.05 / $21.20	Facility		$16.57	$20.05	$21.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $33.15	Professional		$3.80	$3.80	$33.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $20.92 / $21.74	Facility		$4.43	$20.92	$21.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $25.27 / $38.77	Facility		$21.63	$25.27	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $20.76 / $23.59	Professional		$9.09	$20.76	$23.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $7.88 / $9.25	Facility		$6.94	$7.88	$9.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.32 / $7.88 / $113.00	Facility		$6.32	$7.88	$113.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $7.71 / $21.90	Professional		$4.63	$7.71	$21.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $17.34 / $85.00	Professional		$3.86	$17.34	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $7.88 / $9.25	Facility		$6.94	$7.88	$9.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $19.01 / $46.12	Professional		$9.42	$19.01	$46.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $50.00 / $113.00	Facility		$15.42	$50.00	$113.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.88 / $8.61	Professional		$4.09	$5.88	$8.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $9.11 / $16.42	Professional		$9.11	$9.11	$16.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $9.11 / $42.10	Professional		$9.11	$9.11	$42.10
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $7.47 / $21.13	Professional		$4.47	$7.47	$21.13