Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $23.99 / $35.65	Facility		$19.19	$23.99	$35.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $15.19 / $62.83	Professional		$13.11	$15.19	$62.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.38 / $41.57 / $43.97	Facility		$34.38	$41.57	$43.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $7.90 / $66.16	Professional		$7.90	$7.90	$66.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $43.41 / $45.11	Facility		$12.83	$43.41	$45.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $51.60 / $79.15	Facility		$44.15	$51.60	$79.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $43.05 / $48.93	Professional		$18.17	$43.05	$48.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $14.23 / $19.19	Facility		$14.23	$14.23	$19.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $14.39 / $100.00	Facility		$13.11	$14.39	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $15.99 / $44.29	Professional		$9.38	$15.99	$44.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $44.13 / $85.00	Professional		$8.00	$44.13	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $14.23 / $19.19	Facility		$14.23	$14.23	$19.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $38.81 / $108.71	Professional		$19.54	$38.81	$108.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.98 / $31.98 / $100.00	Facility		$31.98	$31.98	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $10.62 / $15.68	Professional		$8.47	$10.62	$15.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $34.04	Professional		$16.45	$16.45	$34.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $87.31	Professional		$16.45	$16.45	$87.31
United Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $13.49 / $35.90	Professional		$9.27	$13.49	$35.90