Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $20.87 / $99.60	Facility		$11.23	$20.87	$99.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $8.89 / $26.08	Professional		$7.68	$8.89	$26.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.12 / $24.34 / $25.74	Facility		$20.12	$24.34	$25.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $3.74 / $38.18	Professional		$3.74	$3.74	$38.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.18 / $22.88 / $23.77	Facility		$6.18	$22.88	$23.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $30.54 / $46.85	Facility		$26.13	$30.54	$46.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $25.20 / $28.64	Professional		$10.74	$25.20	$28.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $6.38 / $11.23	Facility		$5.91	$6.38	$11.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $7.68 / $101.00	Facility		$5.91	$7.68	$101.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $8.11 / $19.45	Professional		$5.42	$8.11	$19.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $14.04 / $85.00	Professional		$4.68	$14.04	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $6.38 / $11.23	Facility		$5.91	$6.38	$11.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $22.97 / $34.07	Professional		$11.02	$22.97	$34.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $18.72 / $101.00	Facility		$18.72	$18.72	$101.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $4.44 / $6.53	Professional		$4.41	$4.44	$6.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $19.93 / $24.41	Professional		$19.93	$19.93	$24.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $26.45 / $51.11	Professional		$24.41	$26.45	$51.11
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $7.28 / $19.45	Professional		$4.84	$7.28	$19.45