Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $16.68 / $64.81	Facility		$8.98	$16.68	$64.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $7.03 / $37.00	Professional		$6.00	$7.03	$37.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $19.45 / $20.57	Facility		$16.07	$19.45	$20.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $3.40 / $30.95	Professional		$3.40	$3.40	$30.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $18.72 / $19.46	Facility		$5.60	$18.72	$19.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $24.22 / $37.15	Facility		$20.73	$24.22	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $20.14 / $22.89	Professional		$8.67	$20.14	$22.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $6.14 / $8.98	Facility		$6.14	$6.14	$8.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $7.48 / $100.00	Facility		$6.14	$7.48	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $7.48 / $20.22	Professional		$4.49	$7.48	$20.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $20.64 / $85.00	Professional		$3.74	$20.64	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $6.14 / $8.98	Facility		$6.14	$6.14	$8.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $18.22 / $57.99	Professional		$8.74	$18.22	$57.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $14.96 / $100.00	Facility		$14.96	$14.96	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $4.57 / $6.80	Professional		$3.96	$4.57	$6.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $11.64 / $15.93	Professional		$11.64	$11.64	$15.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $29.04 / $40.84	Professional		$11.64	$29.04	$40.84
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $7.35 / $17.05	Professional		$4.13	$7.35	$17.05