Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $19.50 / $26.40	Facility		$14.21	$19.50	$26.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $11.25 / $46.56	Professional		$9.71	$11.25	$46.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $30.78 / $32.56	Facility		$25.46	$30.78	$32.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $5.85 / $49.00	Professional		$5.85	$5.85	$49.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $32.13 / $33.40	Facility		$8.08	$32.13	$33.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $37.90 / $58.15	Facility		$32.44	$37.90	$58.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $31.88 / $36.22	Professional		$13.63	$31.88	$36.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $10.55 / $14.21	Facility		$10.55	$10.55	$14.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $10.66 / $94.00	Facility		$9.71	$10.66	$94.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $10.00 / $32.79	Professional		$6.87	$10.00	$32.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $23.22 / $85.00	Professional		$5.92	$23.22	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $10.55 / $14.21	Facility		$10.55	$10.55	$14.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $29.30 / $60.17	Professional		$14.47	$29.30	$60.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $23.68 / $94.00	Facility		$23.68	$23.68	$94.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $7.84 / $11.50	Professional		$6.28	$7.84	$11.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $12.41 / $25.21	Professional		$12.41	$12.41	$25.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $47.20 / $64.65	Professional		$12.41	$47.20	$64.65
United Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $10.52 / $28.54	Facility		$10.52	$10.52	$28.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $9.74 / $32.45	Professional		$5.92	$9.74	$32.45