Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $20.07 / $29.84	Facility		$16.05	$20.07	$29.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $16.05 / $52.60	Professional		$10.97	$16.05	$52.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.77 / $34.79 / $36.79	Facility		$28.77	$34.79	$36.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $55.36	Professional		$6.61	$6.61	$55.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $36.32 / $37.74	Facility		$10.74	$36.32	$37.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.17 / $66.23	Facility		$36.95	$43.17	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $36.03 / $40.94	Professional		$15.28	$36.03	$40.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $11.92 / $16.05	Facility		$11.92	$11.92	$16.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.97 / $12.04 / $85.00	Facility		$10.97	$12.04	$85.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $13.38 / $37.06	Professional		$7.85	$13.38	$37.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $26.23 / $85.00	Professional		$6.69	$26.23	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $11.92 / $16.05	Facility		$11.92	$11.92	$16.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $32.47 / $54.90	Professional		$16.35	$32.47	$54.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.76 / $28.43 / $85.00	Facility		$26.76	$28.43	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $8.82 / $13.07	Professional		$7.09	$8.82	$13.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $28.49	Professional		$13.76	$13.76	$28.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $53.33 / $73.05	Professional		$13.76	$53.33	$73.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $11.30 / $48.17	Professional		$6.69	$11.30	$48.17