Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $22.05 / $257.30	Facility		$11.87	$22.05	$257.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.88 / $11.87	Professional		$8.11	$10.88	$11.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $25.71 / $27.20	Facility		$21.26	$25.71	$27.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $4.66 / $40.92	Professional		$4.66	$4.66	$40.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $25.64 / $26.64	Facility		$6.76	$25.64	$26.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $31.59 / $48.46	Facility		$27.03	$31.59	$48.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $26.63 / $30.26	Professional		$11.56	$26.63	$30.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $8.11 / $11.87	Facility		$8.11	$8.11	$11.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $8.11 / $60.00	Facility		$8.11	$8.11	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $9.89 / $27.40	Professional		$5.93	$9.89	$27.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $18.49 / $85.00	Professional		$4.95	$18.49	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $8.11 / $11.87	Facility		$8.11	$8.11	$11.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $24.55 / $36.72	Professional		$11.78	$24.55	$36.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.78 / $19.78 / $60.00	Facility		$19.78	$19.78	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $6.21 / $9.15	Professional		$5.24	$6.21	$9.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $21.06	Professional		$9.71	$9.71	$21.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $37.64 / $54.00	Professional		$9.71	$37.64	$54.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $7.91 / $27.10	Professional		$5.66	$7.91	$27.10