Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $11.21 / $16.66	Facility		$8.96	$11.21	$16.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $7.10 / $26.25	Professional		$6.13	$7.10	$26.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $19.42 / $20.54	Facility		$16.05	$19.42	$20.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.30 / $30.47	Professional		$3.30	$3.30	$30.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.98 / $18.26 / $18.97	Facility		$4.98	$18.26	$18.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $24.22 / $37.15	Facility		$20.73	$24.22	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $20.12 / $22.86	Professional		$8.67	$20.12	$22.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $5.98 / $8.96	Facility		$5.96	$5.98	$8.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $6.44 / $100.00	Facility		$5.96	$6.44	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $7.34 / $19.61	Professional		$4.48	$7.34	$19.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $20.62 / $85.00	Professional		$3.74	$20.62	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $5.98 / $8.96	Facility		$5.96	$5.98	$8.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $18.22 / $79.06	Professional		$8.74	$18.22	$79.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $14.94 / $100.00	Facility		$14.94	$14.94	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $4.41 / $6.53	Professional		$3.96	$4.41	$6.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $15.91 / $36.57	Professional		$15.91	$15.91	$36.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $36.57 / $40.79	Professional		$26.65	$36.57	$40.79
United Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $7.47 / $7.47	Facility		$7.47	$7.47	$7.47
United Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $6.00 / $16.55	Professional		$4.03	$6.00	$16.55