Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $21.65 / $32.18	Facility		$17.32	$21.65	$32.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $13.71 / $47.16	Professional		$11.83	$13.71	$47.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.02 / $37.52 / $39.68	Facility		$31.02	$37.52	$39.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $58.86	Professional		$5.92	$5.92	$58.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $35.27 / $36.65	Facility		$10.76	$35.27	$36.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $46.33 / $71.08	Facility		$39.65	$46.33	$71.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $38.85 / $44.15	Professional		$16.93	$38.85	$44.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $17.32	Facility		$10.68	$11.54	$17.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.83 / $149.47	Facility		$10.68	$11.83	$149.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $14.43 / $35.20	Professional		$8.66	$14.43	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $23.51 / $85.00	Professional		$7.22	$23.51	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $17.32	Facility		$10.68	$11.54	$17.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $35.64 / $51.16	Professional		$17.10	$35.64	$51.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.86 / $28.86 / $149.47	Facility		$28.86	$28.86	$149.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.84 / $11.76	Professional		$7.65	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $30.73	Professional		$12.33	$12.33	$30.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $47.78 / $78.79	Professional		$12.33	$47.78	$78.79
United Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $11.54 / $35.20	Professional		$7.79	$11.54	$35.20