Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $22.08 / $32.83	Facility		$17.66	$22.08	$32.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $13.98 / $57.89	Professional		$12.07	$13.98	$57.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.65 / $38.27 / $40.47	Facility		$31.65	$38.27	$40.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $7.27 / $60.90	Professional		$7.27	$7.27	$60.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $39.95 / $41.53	Facility		$11.81	$39.95	$41.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $47.39 / $72.69	Facility		$40.54	$47.39	$72.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $39.63 / $45.04	Professional		$16.93	$39.63	$45.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $13.11 / $17.66	Facility		$13.11	$13.11	$17.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $13.25 / $85.85	Facility		$12.07	$13.25	$85.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $14.72 / $40.77	Professional		$8.64	$14.72	$40.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $28.86 / $85.00	Professional		$7.36	$28.86	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $13.11 / $17.66	Facility		$13.11	$13.11	$17.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $36.43 / $73.76	Professional		$17.98	$36.43	$73.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $31.28 / $85.85	Facility		$29.44	$31.28	$85.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $9.64 / $14.37	Professional		$7.80	$9.64	$14.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $31.35 / $40.57	Professional		$31.35	$31.35	$40.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $58.68 / $80.37	Professional		$40.57	$58.68	$80.37
United Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $12.43 / $52.99	Professional		$7.36	$12.43	$52.99