Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $23.61 / $35.10	Facility		$18.89	$23.61	$35.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $14.95 / $61.86	Professional		$12.91	$14.95	$61.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $40.92 / $43.29	Facility		$33.84	$40.92	$43.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $7.77 / $65.13	Professional		$7.77	$7.77	$65.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $42.74 / $44.42	Facility		$12.64	$42.74	$44.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $50.55 / $77.54	Facility		$43.25	$50.55	$77.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $42.38 / $48.16	Professional		$18.17	$42.38	$48.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $14.02 / $18.89	Facility		$14.02	$14.02	$18.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.91 / $14.17 / $100.00	Facility		$12.91	$14.17	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $15.74 / $43.60	Professional		$9.44	$15.74	$43.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $30.85 / $85.00	Professional		$7.87	$30.85	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $14.02 / $18.89	Facility		$14.02	$14.02	$18.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $38.81 / $142.77	Professional		$19.23	$38.81	$142.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.48 / $37.52 / $100.00	Facility		$31.48	$37.52	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $10.45 / $15.42	Professional		$8.34	$10.45	$15.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.19 / $33.52	Professional		$16.19	$16.19	$33.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $78.17 / $85.94	Professional		$16.19	$78.17	$85.94
United Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $15.74 / $15.74	Facility		$15.74	$15.74	$15.74
United Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $13.19 / $43.14	Professional		$9.13	$13.19	$43.14