Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $126.30 / $126.30	Facility		$22.50	$126.30	$126.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $16.35 / $22.50	Professional		$15.72	$16.35	$22.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.31 / $48.75 / $51.56	Facility		$40.31	$48.75	$51.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $9.26 / $77.58	Professional		$9.26	$9.26	$77.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $50.90 / $52.91	Facility		$12.79	$50.90	$52.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $60.02 / $92.08	Facility		$51.36	$60.02	$92.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $50.49 / $57.38	Professional		$21.48	$50.49	$57.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $16.71 / $22.50	Facility		$16.71	$16.71	$22.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $17.63 / $100.00	Facility		$15.38	$17.63	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $18.75 / $55.04	Professional		$11.25	$18.75	$55.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $36.77 / $85.00	Professional		$9.38	$36.77	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $16.71 / $22.50	Facility		$16.71	$16.71	$22.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $45.94 / $142.77	Professional		$22.91	$45.94	$142.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $37.50 / $100.00	Facility		$37.50	$37.50	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $12.41 / $18.30	Professional		$9.94	$12.41	$18.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $39.93 / $67.90	Professional		$39.93	$39.93	$67.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.90 / $67.90 / $102.38	Professional		$67.90	$67.90	$102.38
United Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $15.73 / $51.38	Professional		$10.88	$15.73	$51.38