Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $22.50 / $33.45	Facility		$18.00	$22.50	$33.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.25 / $51.85	Professional		$12.30	$14.25	$51.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $39.00 / $41.25	Facility		$32.25	$39.00	$41.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $6.51 / $61.19	Professional		$6.51	$6.51	$61.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $36.65 / $38.10	Facility		$11.54	$36.65	$38.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $48.44 / $74.31	Facility		$41.45	$48.44	$74.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $40.39 / $45.90	Professional		$16.93	$40.39	$45.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.00 / $18.00	Facility		$11.75	$12.00	$18.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.69 / $79.00	Facility		$11.75	$12.69	$79.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $14.47 / $38.70	Professional		$8.69	$14.47	$38.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $25.85 / $85.00	Professional		$7.50	$25.85	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.00 / $18.00	Facility		$11.75	$12.00	$18.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $36.43 / $64.67	Professional		$17.48	$36.43	$64.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $79.00	Facility		$30.00	$30.00	$79.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $8.66 / $12.81	Professional		$7.95	$8.66	$12.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $13.57 / $31.94	Professional		$13.57	$13.57	$31.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $13.57 / $81.90	Professional		$13.57	$13.57	$81.90
United Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $11.14 / $32.65	Professional		$7.50	$11.14	$32.65