Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $25.73 / $78.84	Facility		$13.85	$25.73	$78.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $11.78 / $15.84	Professional		$9.17	$11.78	$15.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.81 / $30.00 / $31.74	Facility		$24.81	$30.00	$31.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $5.03 / $47.08	Professional		$5.03	$5.03	$47.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.06 / $28.20 / $29.31	Facility		$9.06	$28.20	$29.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $36.86 / $56.54	Facility		$31.54	$36.86	$56.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $34.44 / $39.14	Professional		$13.22	$34.44	$39.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $9.23 / $13.85	Facility		$9.08	$9.23	$13.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $9.81 / $100.00	Facility		$9.08	$9.81	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $13.85 / $29.90	Professional		$6.92	$13.85	$29.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $17.30 / $85.00	Professional		$5.77	$17.30	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $9.23 / $13.85	Facility		$9.08	$9.23	$13.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $28.51 / $51.58	Professional		$13.68	$28.51	$51.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $50.00 / $100.00	Facility		$23.08	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $6.70 / $9.93	Professional		$6.12	$6.70	$9.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $24.57 / $26.78	Professional		$24.57	$24.57	$26.78
Security Health Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $13.85 / $13.85	Facility		$13.85	$13.85	$13.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $26.78 / $63.01	Professional		$26.78	$26.78	$63.01
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.54 / $29.90	Professional		$6.92	$11.54	$29.90