Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.25 / $114.49 / $208.28	Facility		$9.25	$114.49	$208.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $6.98 / $17.59	Professional		$4.50	$6.98	$17.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $20.05 / $21.20	Facility		$16.57	$20.05	$21.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $31.90	Professional		$3.80	$3.80	$31.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $20.92 / $21.74	Facility		$5.88	$20.92	$21.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $25.27 / $38.77	Facility		$21.63	$25.27	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $20.76 / $23.59	Professional		$9.09	$20.76	$23.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.87 / $6.87 / $9.25	Facility		$6.87	$6.87	$9.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $7.25 / $100.00	Facility		$6.17	$7.25	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $7.71 / $21.36	Professional		$4.51	$7.71	$21.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $27.23 / $85.00	Professional		$3.82	$27.23	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.87 / $6.87 / $9.25	Facility		$6.87	$6.87	$9.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $19.01 / $74.04	Professional		$9.42	$19.01	$74.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $15.42 / $100.00	Facility		$15.42	$15.42	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.05 / $7.58	Professional		$4.09	$5.05	$7.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $16.42 / $37.08	Professional		$16.42	$16.42	$37.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $37.08 / $42.10	Professional		$30.72	$37.08	$42.10
United Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $7.71 / $22.62	Professional		$4.63	$7.71	$22.62