Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $18.38 / $27.32	Facility		$14.70	$18.38	$27.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $11.64 / $22.85	Professional		$10.05	$11.64	$22.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.34 / $31.85 / $33.69	Facility		$26.34	$31.85	$33.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $49.00	Professional		$6.05	$6.05	$49.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $33.26 / $34.57	Facility		$9.83	$33.26	$34.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $59.77	Facility		$33.34	$38.96	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $32.99 / $37.49	Professional		$14.04	$32.99	$37.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $10.91 / $14.70	Facility		$10.91	$10.91	$14.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $11.03 / $81.00	Facility		$10.05	$11.03	$81.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $9.80 / $27.22	Professional		$4.87	$9.80	$27.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $20.50 / $85.00	Professional		$6.13	$20.50	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $10.91 / $14.70	Facility		$10.91	$10.91	$14.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $30.10 / $60.17	Professional		$14.97	$30.10	$60.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $50.00 / $81.00	Facility		$24.50	$50.00	$81.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $8.00 / $12.02	Professional		$6.49	$8.00	$12.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $26.09	Professional		$5.99	$5.99	$26.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $27.58 / $66.89	Professional		$5.99	$27.58	$66.89
United Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $14.70 / $14.70	Facility		$14.70	$14.70	$14.70
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.11 / $27.22	Professional		$5.00	$8.11	$27.22