Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $17.28 / $100.80	Facility		$9.30	$17.28	$100.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $7.36 / $30.49	Professional		$6.36	$7.36	$30.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $20.14 / $21.31	Facility		$16.66	$20.14	$21.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $3.83 / $32.07	Professional		$3.83	$3.83	$32.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $21.04 / $21.87	Facility		$5.29	$21.04	$21.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $25.27 / $38.77	Facility		$21.63	$25.27	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $20.87 / $23.71	Professional		$9.09	$20.87	$23.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.90 / $6.90 / $9.30	Facility		$6.90	$6.90	$9.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.36 / $6.98 / $92.87	Facility		$6.36	$6.98	$92.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $7.75 / $21.47	Professional		$4.55	$7.75	$21.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $15.19 / $85.00	Professional		$3.88	$15.19	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.90 / $6.90 / $9.30	Facility		$6.90	$6.90	$9.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $19.01 / $76.87	Professional		$9.47	$19.01	$76.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $15.50 / $92.87	Facility		$15.50	$15.50	$92.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $5.05 / $7.58	Professional		$4.11	$5.05	$7.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $7.97 / $16.50	Professional		$7.97	$7.97	$16.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $7.97 / $42.32	Professional		$7.97	$7.97	$42.32
United Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $6.40 / $21.24	Professional		$4.00	$6.40	$21.24