Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $19.68 / $29.26	Facility		$15.74	$19.68	$29.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $12.33 / $15.74	Professional		$10.76	$12.33	$15.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $34.11 / $36.08	Facility		$28.21	$34.11	$36.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $6.48 / $52.48	Professional		$6.48	$6.48	$52.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $35.63 / $37.03	Facility		$10.53	$35.63	$37.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $35.33 / $40.15	Professional		$15.28	$35.33	$40.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $11.69 / $15.74	Facility		$11.69	$11.69	$15.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $11.81 / $111.00	Facility		$10.76	$11.81	$111.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $10.50 / $29.16	Professional		$4.87	$10.50	$29.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $20.50 / $85.00	Professional		$6.56	$20.50	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $11.69 / $15.74	Facility		$11.69	$11.69	$15.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $32.47 / $64.67	Professional		$16.04	$32.47	$64.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $27.87 / $111.00	Facility		$26.24	$27.87	$111.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $8.66 / $12.81	Professional		$6.95	$8.66	$12.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $27.94	Professional		$5.99	$5.99	$27.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $27.58 / $71.64	Professional		$5.99	$27.58	$71.64
United Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $8.53 / $29.16	Professional		$4.91	$8.53	$29.16