Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $10.97 / $16.30	Facility		$8.77	$10.97	$16.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $6.94 / $11.33	Professional		$5.99	$6.94	$11.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $19.01 / $20.10	Facility		$15.72	$19.01	$20.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $2.92 / $29.24	Professional		$2.92	$2.92	$29.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $17.87 / $18.57	Facility		$5.45	$17.87	$18.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $23.17 / $35.54	Facility		$19.82	$23.17	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $19.68 / $22.36	Professional		$8.67	$19.68	$22.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $5.44 / $8.77	Facility		$5.04	$5.44	$8.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $5.99 / $100.00	Facility		$5.04	$5.99	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $5.85 / $17.00	Professional		$2.41	$5.85	$17.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $10.97 / $85.00	Professional		$3.66	$10.97	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $5.44 / $8.77	Facility		$5.04	$5.44	$8.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $18.22 / $29.66	Professional		$8.74	$18.22	$29.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $14.62 / $100.00	Facility		$14.62	$14.62	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $3.78 / $5.49	Professional		$3.76	$3.78	$5.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $15.57 / $135.96	Professional		$15.57	$15.57	$135.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $135.96 / $135.96	Professional		$14.53	$135.96	$135.96
United Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $9.00 / $9.00	Facility		$9.00	$9.00	$9.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $4.38 / $13.61	Professional		$3.07	$4.38	$13.61