Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $13.64 / $20.27	Facility		$10.91	$13.64	$20.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $9.69 / $12.48	Professional		$7.31	$9.69	$12.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $23.63 / $25.00	Facility		$19.54	$23.63	$25.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $37.61	Professional		$4.13	$4.13	$37.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.17 / $22.78 / $23.67	Facility		$7.17	$22.78	$23.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $29.48 / $45.23	Facility		$25.23	$29.48	$45.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $24.48 / $27.81	Professional		$10.33	$24.48	$27.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $7.47 / $10.91	Facility		$7.47	$7.47	$10.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.45 / $8.08 / $100.00	Facility		$7.45	$8.08	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $9.09 / $25.18	Professional		$5.45	$9.09	$25.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $25.09 / $85.00	Professional		$4.55	$25.09	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $7.47 / $10.91	Facility		$7.47	$7.47	$10.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $22.18 / $65.89	Professional		$10.64	$22.18	$65.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $18.18 / $100.00	Facility		$18.18	$18.18	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $5.55 / $8.10	Professional		$4.82	$5.55	$8.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $19.36 / $61.02	Professional		$19.36	$19.36	$61.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $49.63 / $61.02	Professional		$26.42	$49.63	$61.02
United Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $7.27 / $24.91	Professional		$4.92	$7.27	$24.91