Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $14.49 / $21.54	Facility		$11.59	$14.49	$21.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $11.28 / $37.09	Professional		$7.92	$11.28	$37.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $25.12 / $26.57	Facility		$20.77	$25.12	$26.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $4.66 / $39.96	Professional		$4.66	$4.66	$39.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $25.64 / $26.64	Facility		$6.67	$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 $11.15 / $26.02 / $29.56	Professional		$11.15	$26.02	$29.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $5.12 / $11.59	Facility		$5.12	$5.12	$11.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $7.92 / $70.00	Facility		$5.12	$7.92	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $9.66 / $26.76	Professional		$5.80	$9.66	$26.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $33.28 / $85.00	Professional		$4.78	$33.28	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $5.12 / $11.59	Facility		$5.12	$5.12	$11.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $23.76 / $40.59	Professional		$11.54	$23.76	$40.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $19.32 / $70.00	Facility		$19.32	$19.32	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $6.21 / $9.15	Professional		$5.12	$6.21	$9.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $20.57	Professional		$9.71	$9.71	$20.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $52.74	Professional		$9.71	$9.71	$52.74
United Facility/Professional Facility Modifier Low / Median / High Price $8.39 / $8.39 / $22.76	Facility		$8.39	$8.39	$22.76
United Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $7.78 / $26.47	Professional		$5.60	$7.78	$26.47