Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $19.79 / $29.41	Facility		$15.83	$19.79	$29.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $12.53 / $22.85	Professional		$10.82	$12.53	$22.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $34.29 / $36.27	Facility		$28.36	$34.29	$36.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $6.51 / $52.76	Professional		$6.51	$6.51	$52.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $35.79 / $37.21	Facility		$10.59	$35.79	$37.21
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 / $35.52 / $40.36	Professional		$15.28	$35.52	$40.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $15.83	Facility		$11.75	$11.75	$15.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $11.87 / $199.75	Facility		$10.82	$11.87	$199.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $10.55 / $29.30	Professional		$4.87	$10.55	$29.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $19.79 / $85.00	Professional		$6.60	$19.79	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $15.83	Facility		$11.75	$11.75	$15.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $32.47 / $64.67	Professional		$16.12	$32.47	$64.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $28.02 / $199.75	Facility		$26.38	$28.02	$199.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $8.66 / $12.81	Professional		$6.99	$8.66	$12.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $28.09	Professional		$5.99	$5.99	$28.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $72.02	Professional		$5.99	$5.99	$72.02
United Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $13.19 / $13.19	Facility		$13.19	$13.19	$13.19
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.11 / $24.55	Professional		$5.00	$8.11	$24.55