Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $27.01 / $27.01	Facility		$14.53	$27.01	$27.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $10.90 / $15.34	Professional		$8.96	$10.90	$15.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $31.49 / $33.29	Facility		$26.04	$31.49	$33.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $49.40	Professional		$5.98	$5.98	$49.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $32.86 / $34.15	Facility		$32.86	$32.86	$34.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $59.77	Facility		$33.34	$38.96	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $29.06 / $37.06	Professional		$8.10	$29.06	$37.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.32 / $14.53 / $25.06	Facility		$9.32	$14.53	$25.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $13.93 / $25.54	Facility		$9.44	$13.93	$25.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $9.99 / $89.25	Professional		$6.41	$9.99	$89.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $50.00 / $85.00	Professional		$12.11	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.32 / $14.53 / $25.54	Facility		$9.32	$14.53	$25.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $30.88 / $54.90	Professional		$22.20	$30.88	$54.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $70.00 / $70.00	Facility		$24.45	$70.00	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $64.43 / $89.25	Professional		$8.68	$64.43	$89.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $12.46 / $25.79	Professional		$12.46	$12.46	$25.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $48.27 / $66.12	Professional		$12.46	$48.27	$66.12
United Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $8.46 / $18.77	Professional		$5.09	$8.46	$18.77