Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $22.53 / $33.49	Facility		$18.02	$22.53	$33.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $14.27 / $59.06	Professional		$12.32	$14.27	$59.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $39.04 / $41.31	Facility		$32.29	$39.04	$41.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $7.42 / $62.15	Professional		$7.42	$7.42	$62.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $40.78 / $42.39	Facility		$10.68	$40.78	$42.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $48.44 / $74.31	Facility		$41.45	$48.44	$74.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $40.45 / $45.96	Professional		$16.93	$40.45	$45.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $13.38 / $18.02	Facility		$13.38	$13.38	$18.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $13.52 / $100.00	Facility		$12.32	$13.52	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $15.02 / $41.61	Professional		$9.01	$15.02	$41.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $41.46 / $85.00	Professional		$7.51	$41.46	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $13.38 / $18.02	Facility		$13.38	$13.38	$18.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $36.43 / $65.89	Professional		$18.36	$36.43	$65.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.04 / $50.00 / $100.00	Facility		$30.04	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $9.96 / $14.64	Professional		$7.96	$9.96	$14.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $15.46 / $31.99	Professional		$15.46	$15.46	$31.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $15.46 / $82.01	Professional		$15.46	$15.46	$82.01
United Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $18.02 / $18.02	Facility		$18.02	$18.02	$18.02
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.37 / $41.16	Professional		$8.71	$12.37	$41.16