Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.47 / $15.59 / $23.17	Facility		$12.47	$15.59	$23.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $9.86 / $31.40	Professional		$8.52	$9.86	$31.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $27.01 / $28.57	Facility		$22.34	$27.01	$28.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $4.16 / $42.38	Professional		$4.16	$4.16	$42.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $25.39 / $26.39	Facility		$8.15	$25.39	$26.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.70 / $51.69	Facility		$28.84	$33.70	$51.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $27.97 / $31.79	Professional		$11.98	$27.97	$31.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $7.69 / $12.47	Facility		$7.11	$7.69	$12.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $8.52 / $108.00	Facility		$7.11	$8.52	$108.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $8.76 / $23.44	Professional		$5.83	$8.76	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $15.65 / $85.00	Professional		$5.20	$15.65	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $7.69 / $12.47	Facility		$7.11	$7.69	$12.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $25.34 / $43.12	Professional		$12.16	$25.34	$43.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.78 / $20.78 / $108.00	Facility		$20.78	$20.78	$108.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $5.35 / $7.84	Professional		$5.23	$5.35	$7.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $8.21 / $22.13	Professional		$8.21	$8.21	$22.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $8.21 / $56.73	Professional		$8.21	$8.21	$56.73
United Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $8.31 / $23.44	Professional		$5.20	$8.31	$23.44