Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $25.26 / $37.54	Facility		$20.21	$25.26	$37.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.81 / $16.00 / $66.18	Professional		$13.81	$16.00	$66.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $43.78 / $46.31	Facility		$36.21	$43.78	$46.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $69.68	Professional		$8.32	$8.32	$69.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.84 / $45.73 / $47.52	Facility		$12.84	$45.73	$47.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $53.70 / $82.38	Facility		$45.96	$53.70	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $45.34 / $51.53	Professional		$19.41	$45.34	$51.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $8.93 / $20.21	Facility		$8.93	$8.93	$20.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $13.81 / $100.00	Facility		$8.93	$13.81	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $16.84 / $46.65	Professional		$10.10	$16.84	$46.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $55.00 / $85.00	Professional		$8.42	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $8.93 / $20.21	Facility		$8.93	$8.93	$20.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $41.18 / $148.66	Professional		$20.58	$41.18	$148.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.68 / $33.68 / $100.00	Facility		$33.68	$33.68	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $11.11 / $16.47	Professional		$8.93	$11.11	$16.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $35.86	Professional		$17.32	$17.32	$35.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $67.13 / $91.95	Professional		$17.32	$67.13	$91.95
United Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Facility		$16.84	$16.84	$16.84
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.11 / $46.15	Professional		$9.77	$14.11	$46.15