Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $21.00 / $31.22	Facility		$16.80	$21.00	$31.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $16.19 / $19.22	Professional		$10.78	$16.19	$19.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $36.40 / $38.50	Facility		$30.10	$36.40	$38.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $57.93	Professional		$6.92	$6.92	$57.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $38.03 / $39.52	Facility		$11.24	$38.03	$39.52
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 $16.11 / $37.70 / $42.84	Professional		$16.11	$37.70	$42.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $12.48 / $16.80	Facility		$12.48	$12.48	$16.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $12.60 / $81.00	Facility		$11.48	$12.60	$81.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $14.00 / $38.78	Professional		$8.40	$14.00	$38.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $27.46 / $85.00	Professional		$7.00	$27.46	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $12.48 / $16.80	Facility		$12.48	$12.48	$16.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $34.06 / $92.92	Professional		$17.12	$34.06	$92.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $29.75 / $81.00	Facility		$28.00	$29.75	$81.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $9.31 / $13.59	Professional		$7.42	$9.31	$13.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $14.41 / $29.81	Professional		$14.41	$14.41	$29.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $55.83 / $76.44	Professional		$14.41	$55.83	$76.44
United Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $12.45 / $33.77	Facility		$12.45	$12.45	$33.77
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.74 / $38.36	Professional		$8.11	$11.74	$38.36