Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $23.40 / $34.79	Facility		$18.72	$23.40	$34.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $14.82 / $47.16	Professional		$12.79	$14.82	$47.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $40.56 / $42.90	Facility		$33.54	$40.56	$42.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $6.24 / $63.64	Professional		$6.24	$6.24	$63.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $38.13 / $39.61	Facility		$11.63	$38.13	$39.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $50.55 / $77.54	Facility		$43.25	$50.55	$77.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $42.01 / $47.74	Professional		$17.76	$42.01	$47.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $18.72	Facility		$10.68	$11.54	$18.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $12.79 / $90.00	Facility		$10.68	$12.79	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $15.60 / $35.20	Professional		$9.05	$15.60	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $23.51 / $85.00	Professional		$7.80	$23.51	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $18.72	Facility		$10.68	$11.54	$18.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $38.02 / $52.80	Professional		$18.23	$38.02	$52.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.20 / $31.20 / $90.00	Facility		$31.20	$31.20	$90.00
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 / $33.22	Professional		$12.33	$12.33	$33.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $85.18	Professional		$12.33	$12.33	$85.18
United Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $15.60 / $15.60	Facility		$15.60	$15.60	$15.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.48 / $35.20	Professional		$8.42	$12.48	$35.20