Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.26 / $10.32 / $15.34	Facility		$8.26	$10.32	$15.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $6.54 / $25.43	Professional		$5.64	$6.54	$25.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $17.89 / $18.92	Facility		$14.79	$17.89	$18.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.19 / $28.46	Professional		$3.19	$3.19	$28.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $17.55 / $18.23	Facility		$4.63	$17.55	$18.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $22.11 / $33.92	Facility		$18.92	$22.11	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $18.52 / $21.05	Professional		$7.85	$18.52	$21.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.76 / $5.76 / $8.26	Facility		$5.76	$5.76	$8.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $6.19 / $70.00	Facility		$5.64	$6.19	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $6.88 / $18.98	Professional		$3.99	$6.88	$18.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $12.69 / $85.00	Professional		$3.44	$12.69	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.76 / $5.76 / $8.26	Facility		$5.76	$5.76	$8.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $16.63 / $23.10	Professional		$7.98	$16.63	$23.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $50.00 / $70.00	Facility		$13.76	$50.00	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $4.25 / $6.27	Professional		$3.65	$4.25	$6.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $6.65 / $14.65	Professional		$6.65	$6.65	$14.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $6.65 / $37.56	Professional		$6.65	$6.65	$37.56
United Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $5.50 / $16.02	Professional		$3.88	$5.50	$16.02