Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $15.02 / $22.32	Facility		$12.01	$15.02	$22.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $11.69 / $44.00	Professional		$8.21	$11.69	$44.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $26.03 / $27.53	Facility		$21.52	$26.03	$27.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $4.94 / $41.42	Professional		$4.94	$4.94	$41.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $27.17 / $28.24	Facility		$8.02	$27.17	$28.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $32.64 / $50.08	Facility		$27.93	$32.64	$50.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $26.95 / $30.63	Professional		$11.56	$26.95	$30.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.92 / $8.92 / $12.01	Facility		$8.92	$8.92	$12.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $9.01 / $130.03	Facility		$8.21	$9.01	$130.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $10.01 / $27.73	Professional		$6.01	$10.01	$27.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $19.64 / $85.00	Professional		$5.01	$19.64	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.92 / $8.92 / $12.01	Facility		$8.92	$8.92	$12.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $24.55 / $92.26	Professional		$12.23	$24.55	$92.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $23.88 / $130.03	Facility		$20.02	$23.88	$130.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $6.53 / $9.67	Professional		$5.31	$6.53	$9.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $21.32	Professional		$10.30	$10.30	$21.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $49.37 / $54.65	Professional		$10.30	$49.37	$54.65
United Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $10.01 / $27.73	Professional		$5.81	$10.01	$27.73