Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $23.99 / $35.65	Facility		$19.19	$23.99	$35.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $15.19 / $22.85	Professional		$13.11	$15.19	$22.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.38 / $41.57 / $43.97	Facility		$34.38	$41.57	$43.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $6.51 / $63.96	Professional		$6.51	$6.51	$63.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $39.07 / $40.61	Facility		$10.81	$39.07	$40.61
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 $18.17 / $43.05 / $48.93	Professional		$18.17	$43.05	$48.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.69 / $19.19	Facility		$11.75	$12.69	$19.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.11 / $75.95	Facility		$11.75	$13.11	$75.95
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 $7.92 / $23.99 / $85.00	Professional		$7.92	$23.99	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.69 / $19.19	Facility		$11.75	$12.69	$19.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $38.81 / $64.67	Professional		$18.62	$38.81	$64.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.98 / $31.98 / $75.95	Facility		$31.98	$31.98	$75.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $8.66 / $12.81	Professional		$8.47	$8.66	$12.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $34.04	Professional		$5.99	$5.99	$34.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $23.19 / $87.31	Professional		$5.99	$23.19	$87.31
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $12.79 / $29.76	Professional		$5.00	$12.79	$29.76