Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $21.62 / $32.13	Facility		$17.29	$21.62	$32.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $13.69 / $22.85	Professional		$11.82	$13.69	$22.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $37.47 / $39.63	Facility		$30.98	$37.47	$39.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $7.12 / $57.64	Professional		$7.12	$7.12	$57.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.46 / $39.11 / $40.67	Facility		$11.46	$39.11	$40.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $46.33 / $71.08	Facility		$39.65	$46.33	$71.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $38.81 / $44.10	Professional		$16.93	$38.81	$44.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.84 / $12.84 / $17.29	Facility		$12.84	$12.84	$17.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.82 / $12.97 / $70.00	Facility		$11.82	$12.97	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $11.24 / $32.02	Professional		$4.87	$11.24	$32.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $21.62 / $85.00	Professional		$7.21	$21.62	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.84 / $12.84 / $17.29	Facility		$12.84	$12.84	$17.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $35.64 / $64.67	Professional		$17.61	$35.64	$64.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $30.62 / $70.00	Facility		$28.82	$30.62	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $9.47 / $14.11	Professional		$7.64	$9.47	$14.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $30.69	Professional		$5.99	$5.99	$30.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $78.68	Professional		$5.99	$5.99	$78.68
United Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Facility		$17.29	$17.29	$17.29
United Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $8.65 / $32.02	Professional		$4.91	$8.65	$32.02