Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $15.27 / $22.70	Facility		$12.22	$15.27	$22.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $12.22 / $22.70	Professional		$8.35	$12.22	$22.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $26.47 / $28.00	Facility		$21.89	$26.47	$28.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $41.53	Professional		$5.01	$5.01	$41.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.17 / $27.64 / $28.73	Facility		$8.17	$27.64	$28.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $25.90 / $39.74	Facility		$22.17	$25.90	$39.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $27.41 / $31.15	Professional		$11.73	$27.41	$31.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.06 / $9.06 / $12.22	Facility		$9.06	$9.06	$12.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.35 / $9.57 / $90.10	Facility		$8.35	$9.57	$90.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $8.14 / $22.61	Professional		$4.79	$8.14	$22.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $20.50 / $85.00	Professional		$5.09	$20.50	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.06 / $9.06 / $12.22	Facility		$9.06	$9.06	$12.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $24.55 / $103.23	Professional		$12.44	$24.55	$103.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $21.62 / $90.10	Facility		$20.36	$21.62	$90.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $6.70 / $9.93	Professional		$5.40	$6.70	$9.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $21.68	Professional		$5.99	$5.99	$21.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $23.19 / $55.58	Professional		$5.99	$23.19	$55.58
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.38 / $22.61	Professional		$4.79	$6.38	$22.61