Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.77 / $15.96 / $23.73	Facility		$12.77	$15.96	$23.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $10.11 / $27.51	Professional		$8.72	$10.11	$27.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.88 / $27.66 / $29.26	Facility		$22.88	$27.66	$29.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $43.41	Professional		$5.25	$5.25	$43.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $28.88 / $30.02	Facility		$8.53	$28.88	$30.02
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 $12.39 / $28.66 / $32.56	Professional		$12.39	$28.66	$32.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.48 / $9.48 / $12.77	Facility		$9.48	$9.48	$12.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.72 / $9.58 / $60.00	Facility		$8.72	$9.58	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $8.51 / $23.63	Professional		$5.32	$8.51	$23.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $24.69 / $85.00	Professional		$5.27	$24.69	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.48 / $9.48 / $12.77	Facility		$9.48	$9.48	$12.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $26.14 / $64.67	Professional		$13.00	$26.14	$64.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $25.35 / $60.00	Facility		$21.28	$25.35	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $7.02 / $10.45	Professional		$5.64	$7.02	$10.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $7.21 / $22.66	Professional		$7.21	$7.21	$22.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $35.34 / $58.09	Professional		$7.21	$35.34	$58.09
United Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $7.69 / $23.63	Professional		$4.94	$7.69	$23.63