Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $18.38 / $27.32	Facility		$14.70	$18.38	$27.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $14.70 / $16.82	Professional		$10.05	$14.70	$16.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.34 / $31.85 / $33.69	Facility		$26.34	$31.85	$33.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $50.69	Professional		$5.92	$5.92	$50.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $32.54 / $33.83	Facility		$9.30	$32.54	$33.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $59.77	Facility		$33.34	$38.96	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $32.99 / $37.49	Professional		$14.04	$32.99	$37.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $14.70	Facility		$10.68	$10.68	$14.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $11.03 / $70.00	Facility		$10.05	$11.03	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $12.25 / $33.93	Professional		$7.35	$12.25	$33.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $23.51 / $85.00	Professional		$6.13	$23.51	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $14.70	Facility		$10.68	$10.68	$14.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $30.10 / $52.19	Professional		$14.65	$30.10	$52.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $25.75 / $70.00	Facility		$24.50	$25.75	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $7.84 / $11.76	Professional		$6.49	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $26.09	Professional		$12.33	$12.33	$26.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $56.83 / $66.89	Professional		$12.33	$56.83	$66.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $10.06 / $33.57	Professional		$7.11	$10.06	$33.57