Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.28 / $24.11 / $35.84	Facility		$19.28	$24.11	$35.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $15.27 / $22.06	Professional		$10.74	$15.27	$22.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $41.78 / $44.19	Facility		$34.54	$41.78	$44.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.43 / $65.55	Professional		$6.43	$6.43	$65.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $39.28 / $40.82	Facility		$11.98	$39.28	$40.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $51.60 / $79.15	Facility		$44.15	$51.60	$79.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $43.27 / $49.18	Professional		$18.59	$43.27	$49.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $19.28	Facility		$10.68	$11.54	$19.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $13.18 / $76.33	Facility		$10.68	$13.18	$76.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $16.07 / $35.20	Professional		$9.32	$16.07	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $24.11 / $85.00	Professional		$8.03	$24.11	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $19.28	Facility		$10.68	$11.54	$19.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $39.60 / $55.00	Professional		$19.00	$39.60	$55.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $32.14 / $76.33	Facility		$32.14	$32.14	$76.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $8.02 / $11.76	Professional		$7.84	$8.02	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $34.22	Professional		$12.33	$12.33	$34.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $47.78 / $87.74	Professional		$12.33	$47.78	$87.74
United Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $12.86 / $35.20	Professional		$8.68	$12.86	$35.20