Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $19.55 / $19.55	Facility		$10.52	$19.55	$19.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $7.45 / $10.52	Professional		$6.34	$7.45	$10.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $22.80 / $24.12	Facility		$18.86	$22.80	$24.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.05 / $35.77	Professional		$4.05	$4.05	$35.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.26 / $22.26 / $23.14	Facility		$22.26	$22.26	$23.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $28.43 / $43.62	Facility		$24.33	$28.43	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $19.92 / $26.84	Professional		$5.61	$19.92	$26.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $10.09 / $21.74	Facility		$6.75	$10.09	$21.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.84 / $9.86 / $21.74	Facility		$6.84	$9.86	$21.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $6.76 / $75.98	Professional		$4.80	$6.76	$75.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $50.00 / $85.00	Professional		$8.77	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $10.25 / $21.74	Facility		$6.75	$10.25	$21.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $22.41 / $37.10	Professional		$16.20	$22.41	$37.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $60.00 / $60.00	Facility		$15.64	$60.00	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $43.85 / $75.98	Professional		$5.91	$43.85	$75.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.44 / $18.68	Professional		$8.44	$8.44	$18.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $32.69 / $47.88	Professional		$8.44	$32.69	$47.88
United Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $5.99 / $13.59	Professional		$3.68	$5.99	$13.59