Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $21.24 / $31.58	Facility		$16.98	$21.24	$31.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $16.98 / $31.58	Professional		$11.61	$16.98	$31.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $36.82 / $38.94	Facility		$30.44	$36.82	$38.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $5.66 / $57.76	Professional		$5.66	$5.66	$57.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $34.60 / $35.97	Facility		$11.06	$34.60	$35.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $45.28 / $69.45	Facility		$38.75	$45.28	$69.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $38.13 / $43.33	Professional		$16.52	$38.13	$43.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $10.01 / $16.98	Facility		$9.27	$10.01	$16.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $11.61 / $70.00	Facility		$9.27	$11.61	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.42 / $30.51	Professional		$7.59	$11.42	$30.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $36.70 / $85.00	Professional		$7.08	$36.70	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $10.01 / $16.98	Facility		$9.27	$10.01	$16.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $34.85 / $52.19	Professional		$16.72	$34.85	$52.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $28.32 / $70.00	Facility		$28.32	$28.32	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $6.95 / $10.19	Professional		$6.86	$6.95	$10.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $30.15 / $82.40	Professional		$30.15	$30.15	$82.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $77.31 / $82.40	Professional		$41.47	$77.31	$82.40
United Facility/Professional Facility Modifier Low / Median / High Price $11.33 / $11.33 / $30.73	Facility		$11.33	$11.33	$30.73
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.72 / $26.36	Professional		$7.08	$8.72	$26.36