Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $13.40 / $62.25	Facility		$10.72	$13.40	$62.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $8.39 / $19.91	Professional		$7.32	$8.39	$19.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $23.22 / $24.56	Facility		$19.20	$23.22	$24.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $4.41 / $36.42	Professional		$4.41	$4.41	$36.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.17 / $24.24 / $25.20	Facility		$7.17	$24.24	$25.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $28.43 / $43.62	Facility		$24.33	$28.43	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $24.05 / $27.33	Professional		$10.33	$24.05	$27.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $7.95 / $10.72	Facility		$7.95	$7.95	$10.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.32 / $8.03 / $100.30	Facility		$7.32	$8.03	$100.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.30 / $19.85	Professional		$4.79	$7.30	$19.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $24.65 / $85.00	Professional		$7.61	$24.65	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $7.95 / $10.72	Facility		$7.95	$7.95	$10.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $22.18 / $50.50	Professional		$10.91	$22.18	$50.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $18.97 / $100.30	Facility		$17.86	$18.97	$100.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $5.88 / $8.61	Professional		$4.73	$5.88	$8.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $19.02 / $97.85	Professional		$19.02	$19.02	$97.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $48.76 / $97.85	Professional		$25.95	$48.76	$97.85
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.38 / $19.85	Professional		$4.47	$6.38	$19.85