Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $22.50 / $33.45	Facility		$18.00	$22.50	$33.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $14.10 / $47.16	Professional		$10.70	$14.10	$47.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $39.00 / $41.25	Facility		$32.25	$39.00	$41.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $61.19	Professional		$6.00	$6.00	$61.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $36.65 / $38.10	Facility		$11.18	$36.65	$38.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $48.44 / $74.31	Facility		$41.45	$48.44	$74.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $40.39 / $45.90	Professional		$16.93	$40.39	$45.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $18.00	Facility		$10.68	$11.54	$18.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $12.30 / $71.25	Facility		$10.68	$12.30	$71.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $15.00 / $35.20	Professional		$8.76	$15.00	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $41.40 / $85.00	Professional		$7.50	$41.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $18.00	Facility		$10.68	$11.54	$18.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $36.43 / $51.16	Professional		$17.48	$36.43	$51.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $71.25	Facility		$30.00	$30.00	$71.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $7.95 / $11.76	Professional		$7.84	$7.95	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $31.94	Professional		$12.33	$12.33	$31.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $81.90	Professional		$12.33	$12.33	$81.90
United Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $12.00 / $35.20	Professional		$7.50	$12.00	$35.20