Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $18.98 / $28.23	Facility		$15.19	$18.98	$28.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $13.19 / $43.41	Professional		$10.38	$13.19	$43.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $32.92 / $34.82	Facility		$27.22	$32.92	$34.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.46 / $51.64	Professional		$5.46	$5.46	$51.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $30.94 / $32.15	Facility		$9.94	$30.94	$32.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $41.07 / $63.00	Facility		$35.14	$41.07	$63.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $34.09 / $38.74	Professional		$14.46	$34.09	$38.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $10.13 / $15.19	Facility		$9.83	$10.13	$15.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $10.62 / $100.00	Facility		$9.83	$10.62	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $12.12 / $32.36	Professional		$7.34	$12.12	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $21.64 / $85.00	Professional		$6.33	$21.64	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $10.13 / $15.19	Facility		$9.83	$10.13	$15.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $30.89 / $67.41	Professional		$14.82	$30.89	$67.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.32 / $50.00 / $100.00	Facility		$25.32	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $7.35 / $10.72	Professional		$6.71	$7.35	$10.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $26.96	Professional		$11.36	$11.36	$26.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $34.97 / $69.12	Professional		$11.36	$34.97	$69.12
United Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $10.13 / $32.36	Professional		$6.33	$10.13	$32.36