Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $23.84 / $35.43	Facility		$19.07	$23.84	$35.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $15.41 / $22.85	Professional		$13.03	$15.41	$22.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $41.31 / $43.70	Facility		$34.15	$41.31	$43.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $6.36 / $63.56	Professional		$6.36	$6.36	$63.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $38.84 / $40.36	Facility		$10.76	$38.84	$40.36
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 / $42.79 / $48.63	Professional		$18.17	$42.79	$48.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $12.40 / $19.07	Facility		$11.48	$12.40	$19.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $13.03 / $75.48	Facility		$11.48	$13.03	$75.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $10.53 / $28.64	Professional		$4.87	$10.53	$28.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $23.84 / $85.00	Professional		$7.91	$23.84	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $12.40 / $19.07	Facility		$11.48	$12.40	$19.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $38.81 / $98.81	Professional		$18.62	$38.81	$98.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.78 / $31.78 / $75.48	Facility		$31.78	$31.78	$75.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.49 / $12.55	Professional		$8.42	$8.49	$12.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $33.84	Professional		$5.99	$5.99	$33.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $27.58 / $86.76	Professional		$5.99	$27.58	$86.76
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $12.71 / $28.64	Professional		$5.00	$12.71	$28.64