Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $13.31 / $19.78	Facility		$10.64	$13.31	$19.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $8.43 / $34.89	Professional		$7.27	$8.43	$34.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $23.06 / $24.39	Facility		$19.07	$23.06	$24.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $36.70	Professional		$4.38	$4.38	$36.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $24.10 / $25.04	Facility		$6.05	$24.10	$25.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $28.43 / $43.62	Facility		$24.33	$28.43	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $23.88 / $27.14	Professional		$9.91	$23.88	$27.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $7.90 / $10.64	Facility		$7.90	$7.90	$10.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.27 / $7.98 / $75.00	Facility		$7.27	$7.98	$75.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $8.86 / $24.57	Professional		$5.14	$8.86	$24.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $17.39 / $85.00	Professional		$4.44	$17.39	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $7.90 / $10.64	Facility		$7.90	$7.90	$10.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $21.38 / $47.68	Professional		$10.85	$21.38	$47.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $50.00 / $75.00	Facility		$17.73	$50.00	$75.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $5.88 / $8.61	Professional		$4.70	$5.88	$8.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $9.13 / $18.89	Professional		$9.13	$9.13	$18.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $9.13 / $48.43	Professional		$9.13	$9.13	$48.43
United Facility/Professional Facility Modifier Low / Median / High Price $7.89 / $7.89 / $21.40	Facility		$7.89	$7.89	$21.40
United Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $7.44 / $26.04	Professional		$4.44	$7.44	$26.04