Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $30.35 / $55.22	Facility		$16.32	$30.35	$55.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $14.61 / $16.32	Professional		$11.16	$14.61	$16.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $35.39 / $37.43	Facility		$29.26	$35.39	$37.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $55.52	Professional		$5.92	$5.92	$55.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.15 / $33.26 / $34.57	Facility		$10.15	$33.26	$34.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.23 / $67.84	Facility		$37.85	$44.23	$67.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $36.65 / $41.65	Professional		$15.69	$36.65	$41.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.89 / $16.32	Facility		$10.68	$10.89	$16.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $80.00	Facility		$10.68	$11.54	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $13.61 / $35.20	Professional		$8.17	$13.61	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $23.51 / $85.00	Professional		$6.81	$23.51	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.89 / $16.32	Facility		$10.68	$10.89	$16.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $33.26 / $46.20	Professional		$15.96	$33.26	$46.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $27.22 / $80.00	Facility		$27.22	$27.22	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $7.84 / $11.76	Professional		$7.21	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $28.98	Professional		$12.33	$12.33	$28.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $56.83 / $74.31	Professional		$12.33	$56.83	$74.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $10.13 / $35.20	Professional		$7.35	$10.13	$35.20