Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.44 / $24.30 / $36.13	Facility		$19.44	$24.30	$36.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $15.39 / $22.85	Professional		$13.28	$15.39	$22.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $42.12 / $44.55	Facility		$34.83	$42.12	$44.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $6.51 / $64.80	Professional		$6.51	$6.51	$64.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $39.60 / $41.15	Facility		$12.22	$39.60	$41.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $51.60 / $79.15	Facility		$44.15	$51.60	$79.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $43.63 / $49.58	Professional		$18.59	$43.63	$49.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.69 / $19.44	Facility		$11.75	$12.69	$19.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.28 / $76.95	Facility		$11.75	$13.28	$76.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $10.78 / $29.30	Professional		$4.87	$10.78	$29.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $24.30 / $85.00	Professional		$8.02	$24.30	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.69 / $19.44	Facility		$11.75	$12.69	$19.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $39.60 / $64.67	Professional		$19.00	$39.60	$64.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $32.40 / $76.95	Facility		$32.40	$32.40	$76.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $8.66 / $12.81	Professional		$8.59	$8.66	$12.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $34.50 / $54.99	Professional		$34.50	$34.50	$54.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $54.99 / $88.45	Professional		$29.34	$54.99	$88.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.72 / $30.15	Professional		$5.00	$9.72	$30.15