Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $12.29 / $18.26	Facility		$9.83	$12.29	$18.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $7.78 / $30.66	Professional		$6.72	$7.78	$30.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $21.29 / $22.52	Facility		$17.61	$21.29	$22.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.05 / $33.89	Professional		$4.05	$4.05	$33.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.57 / $22.24 / $23.11	Facility		$6.57	$22.24	$23.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $26.33 / $40.38	Facility		$22.53	$26.33	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $22.06 / $25.06	Professional		$9.50	$22.06	$25.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $7.29 / $9.83	Facility		$7.29	$7.29	$9.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $7.37 / $100.00	Facility		$6.72	$7.37	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $8.19 / $22.69	Professional		$4.91	$8.19	$22.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $15.29 / $85.00	Professional		$4.09	$15.29	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $7.29 / $9.83	Facility		$7.29	$7.29	$9.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $19.80 / $68.06	Professional		$10.01	$19.80	$68.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $50.00 / $100.00	Facility		$16.38	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $5.39 / $8.10	Professional		$4.34	$5.39	$8.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.02 / $17.44	Professional		$8.02	$8.02	$17.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.02 / $44.72	Professional		$8.02	$8.02	$44.72
United Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $7.00 / $22.91	Professional		$4.91	$7.00	$22.91