Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $17.51 / $26.02	Facility		$14.00	$17.51	$26.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $10.18 / $14.00	Professional		$9.57	$10.18	$14.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.09 / $30.34 / $32.09	Facility		$25.09	$30.34	$32.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $5.76 / $48.29	Professional		$5.76	$5.76	$48.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.96 / $31.69 / $32.94	Facility		$7.96	$31.69	$32.94
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 $13.22 / $31.43 / $35.71	Professional		$13.22	$31.43	$35.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $10.40 / $14.00	Facility		$10.40	$10.40	$14.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $10.50 / $100.00	Facility		$9.57	$10.50	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $11.67 / $32.33	Professional		$7.00	$11.67	$32.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $22.88 / $85.00	Professional		$5.84	$22.88	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $10.40 / $14.00	Facility		$10.40	$10.40	$14.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $28.51 / $69.42	Professional		$14.27	$28.51	$69.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.34 / $23.34 / $100.00	Facility		$23.34	$23.34	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $7.68 / $11.50	Professional		$6.19	$7.68	$11.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $24.85 / $25.54	Professional		$24.85	$24.85	$25.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $46.53 / $63.72	Professional		$25.54	$46.53	$63.72
United Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $9.78 / $34.27	Professional		$6.77	$9.78	$34.27