Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.97 / $9.96 / $14.81	Facility		$7.97	$9.96	$14.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $6.31 / $26.08	Professional		$5.44	$6.31	$26.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.28 / $17.26 / $18.26	Facility		$14.28	$17.26	$18.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $3.28 / $27.48	Professional		$3.28	$3.28	$27.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.07 / $18.04 / $18.75	Facility		$5.07	$18.04	$18.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $21.06 / $32.31	Facility		$18.02	$21.06	$32.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $17.88 / $20.30	Professional		$7.85	$17.88	$20.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $5.91 / $7.97	Facility		$5.91	$5.91	$7.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.44 / $5.98 / $308.42	Facility		$5.44	$5.98	$308.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.64 / $18.39	Professional		$3.98	$6.64	$18.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $13.01 / $85.00	Professional		$3.32	$13.01	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $5.91 / $7.97	Facility		$5.91	$5.91	$7.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $16.63 / $84.12	Professional		$8.11	$16.63	$84.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $13.28 / $308.42	Facility		$13.28	$13.28	$308.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $4.41 / $6.53	Professional		$3.52	$4.41	$6.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $14.14 / $113.30	Professional		$14.14	$14.14	$113.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $36.25 / $113.30	Professional		$26.48	$36.25	$113.30
United Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $5.47 / $16.43	Professional		$3.85	$5.47	$16.43