Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $34.56 / $492.70	Facility		$5.28	$34.56	$492.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $4.46 / $24.63	Professional		$3.29	$4.46	$24.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.23 / $9.96 / $10.53	Facility		$8.23	$9.96	$10.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $1.89 / $15.85	Professional		$1.89	$1.89	$15.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $10.38 / $10.80	Facility		$2.61	$10.38	$10.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $12.64 / $19.38	Facility		$10.81	$12.64	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $10.32 / $11.73	Professional		$4.54	$10.32	$11.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $3.41 / $4.59	Facility		$3.41	$3.41	$4.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $3.68 / $85.54	Facility		$3.41	$3.68	$85.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.83 / $10.61	Professional		$2.29	$3.83	$10.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $7.50 / $85.00	Professional		$1.92	$7.50	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $3.41 / $4.59	Facility		$3.41	$3.41	$4.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $9.50 / $57.09	Professional		$4.68	$9.50	$57.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.66 / $7.66 / $85.54	Facility		$7.66	$7.66	$85.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.45 / $3.66	Professional		$2.02	$2.45	$3.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $8.16 / $17.20	Professional		$8.16	$8.16	$17.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $17.20 / $20.91	Professional		$16.46	$17.20	$20.91
United Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $3.23 / $10.50	Professional		$2.22	$3.23	$10.50