Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $20.13 / $29.93	Facility		$16.10	$20.13	$29.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $12.75 / $47.16	Professional		$11.00	$12.75	$47.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $34.89 / $36.90	Facility		$28.85	$34.89	$36.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $54.74	Professional		$5.92	$5.92	$54.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $32.79 / $34.09	Facility		$10.01	$32.79	$34.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.17 / $66.23	Facility		$36.95	$43.17	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $36.14 / $41.06	Professional		$15.28	$36.14	$41.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $6.71 / $16.10	Facility		$6.71	$6.71	$16.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $11.00 / $80.00	Facility		$6.71	$11.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $13.42 / $35.20	Professional		$8.05	$13.42	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $23.51 / $85.00	Professional		$6.71	$23.51	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $6.71 / $16.10	Facility		$6.71	$6.71	$16.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $32.47 / $45.10	Professional		$15.58	$32.47	$45.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.84 / $26.84 / $80.00	Facility		$26.84	$26.84	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.84 / $11.76	Professional		$7.11	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $28.58	Professional		$12.33	$12.33	$28.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $73.27	Professional		$12.33	$12.33	$73.27
United Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $13.42 / $13.42	Facility		$13.42	$13.42	$13.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $10.74 / $35.20	Professional		$7.04	$10.74	$35.20