Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $21.08 / $31.33	Facility		$16.86	$21.08	$31.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $13.21 / $16.86	Professional		$11.52	$13.21	$16.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $36.53 / $38.64	Facility		$30.21	$36.53	$38.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $6.94 / $58.13	Professional		$6.94	$6.94	$58.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $38.15 / $39.65	Facility		$11.28	$38.15	$39.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $45.28 / $69.45	Facility		$38.75	$45.28	$69.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $37.83 / $42.99	Professional		$16.11	$37.83	$42.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $12.51 / $16.86	Facility		$12.51	$12.51	$16.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $12.65 / $120.35	Facility		$11.52	$12.65	$120.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $14.05 / $38.92	Professional		$8.24	$14.05	$38.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $27.53 / $85.00	Professional		$7.03	$27.53	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $12.51 / $16.86	Facility		$12.51	$12.51	$16.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $34.06 / $104.52	Professional		$17.17	$34.06	$104.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $33.49 / $120.35	Facility		$28.10	$33.49	$120.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $9.31 / $13.85	Professional		$7.45	$9.31	$13.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $29.92	Professional		$14.45	$14.45	$29.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $69.94 / $76.70	Professional		$14.45	$69.94	$76.70
United Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $16.86 / $16.86	Facility		$16.86	$16.86	$16.86
United Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $11.58 / $38.92	Professional		$7.03	$11.58	$38.92