Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.38 / $10.47 / $15.57	Facility		$8.38	$10.47	$15.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $6.63 / $27.46	Professional		$5.72	$6.63	$27.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.01 / $18.14 / $19.20	Facility		$15.01	$18.14	$19.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $28.88	Professional		$3.45	$3.45	$28.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $18.96 / $19.71	Facility		$5.60	$18.96	$19.71
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 $8.26 / $18.80 / $21.36	Professional		$8.26	$18.80	$21.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $6.22 / $8.38	Facility		$6.22	$6.22	$8.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.72 / $6.28 / $100.00	Facility		$5.72	$6.28	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $6.98 / $19.32	Professional		$4.19	$6.98	$19.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $24.64 / $85.00	Professional		$3.49	$24.64	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $6.22 / $8.38	Facility		$6.22	$6.22	$8.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $17.42 / $232.37	Professional		$8.53	$17.42	$232.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.96 / $16.63 / $100.00	Facility		$13.96	$16.63	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $4.57 / $6.80	Professional		$3.70	$4.57	$6.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.19 / $14.86	Professional		$7.19	$7.19	$14.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.19 / $38.11	Professional		$7.19	$7.19	$38.11
United Facility/Professional Facility Modifier Low / Median / High Price $5.27 / $5.27 / $5.58	Facility		$5.27	$5.27	$5.58
United Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $5.85 / $19.32	Professional		$4.05	$5.85	$19.32