Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $24.15 / $35.90	Facility		$19.32	$24.15	$35.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $15.30 / $47.16	Professional		$13.20	$15.30	$47.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $41.86 / $44.28	Facility		$34.61	$41.86	$44.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $6.44 / $65.68	Professional		$6.44	$6.44	$65.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $39.35 / $40.89	Facility		$12.00	$39.35	$40.89
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 / $43.35 / $49.26	Professional		$18.59	$43.35	$49.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $19.32	Facility		$10.68	$11.54	$19.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $13.20 / $185.11	Facility		$10.68	$13.20	$185.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $16.10 / $35.20	Professional		$9.34	$16.10	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $24.15 / $85.00	Professional		$8.05	$24.15	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $19.32	Facility		$10.68	$11.54	$19.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $39.60 / $54.09	Professional		$19.00	$39.60	$54.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.20 / $32.20 / $185.11	Facility		$32.20	$32.20	$185.11
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 $34.29 / $34.29 / $61.80	Professional		$34.29	$34.29	$61.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $61.80 / $87.91	Professional		$47.78	$61.80	$87.91
United Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $12.88 / $35.20	Professional		$8.69	$12.88	$35.20