Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $19.64 / $29.19	Facility		$15.71	$19.64	$29.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $12.44 / $55.74	Professional		$10.73	$12.44	$55.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $34.03 / $36.00	Facility		$28.14	$34.03	$36.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $55.85	Professional		$6.46	$6.46	$55.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $35.56 / $36.96	Facility		$8.93	$35.56	$36.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $35.24 / $40.04	Professional		$14.87	$35.24	$40.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $12.63 / $15.71	Facility		$11.78	$12.63	$15.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $12.63 / $113.00	Facility		$10.73	$12.63	$113.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $13.09 / $36.26	Professional		$7.85	$13.09	$36.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $27.79 / $85.00	Professional		$6.55	$27.79	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $12.63 / $15.71	Facility		$11.78	$12.63	$15.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $31.68 / $158.35	Professional		$16.01	$31.68	$158.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.18 / $26.18 / $113.00	Facility		$26.18	$26.18	$113.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $9.31 / $13.85	Professional		$6.94	$9.31	$13.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $14.59 / $27.88	Professional		$14.59	$14.59	$27.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $14.59 / $71.47	Professional		$14.59	$14.59	$71.47
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.69 / $35.86	Professional		$7.59	$11.69	$35.86