Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $22.95 / $34.11	Facility		$18.36	$22.95	$34.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $14.54 / $60.17	Professional		$12.55	$14.54	$60.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $39.78 / $42.08	Facility		$32.90	$39.78	$42.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $7.56 / $63.30	Professional		$7.56	$7.56	$63.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $41.54 / $43.18	Facility		$11.98	$41.54	$43.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.35 / $49.49 / $75.92	Facility		$42.35	$49.49	$75.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $41.20 / $46.81	Professional		$17.35	$41.20	$46.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $13.63 / $18.36	Facility		$13.63	$13.63	$18.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $13.77 / $90.00	Facility		$12.55	$13.77	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $15.30 / $42.38	Professional		$8.98	$15.30	$42.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $29.99 / $85.00	Professional		$7.65	$29.99	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $13.63 / $18.36	Facility		$13.63	$13.63	$18.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $37.22 / $92.92	Professional		$18.70	$37.22	$92.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $32.50 / $90.00	Facility		$30.60	$32.50	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.13 / $14.90	Professional		$8.11	$10.13	$14.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $32.58 / $56.74	Professional		$32.58	$32.58	$56.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $61.00 / $83.54	Professional		$53.24	$61.00	$83.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $12.92 / $37.90	Professional		$7.65	$12.92	$37.90