Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $20.13 / $29.93	Facility		$16.10	$20.13	$29.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $12.61 / $47.16	Professional		$10.33	$12.61	$47.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $34.89 / $36.90	Facility		$28.85	$34.89	$36.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $54.74	Professional		$5.92	$5.92	$54.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $32.79 / $34.09	Facility		$10.01	$32.79	$34.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.17 / $66.23	Facility		$36.95	$43.17	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $36.14 / $41.06	Professional		$15.28	$36.14	$41.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.74 / $16.10	Facility		$10.68	$10.74	$16.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $70.00	Facility		$10.68	$11.54	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $13.42 / $35.20	Professional		$8.05	$13.42	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $37.04 / $85.00	Professional		$6.71	$37.04	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.74 / $16.10	Facility		$10.68	$10.74	$16.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $31.88 / $45.10	Professional		$15.58	$31.88	$45.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.84 / $50.00 / $70.00	Facility		$26.84	$50.00	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.84 / $11.76	Professional		$7.11	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $28.58 / $46.73	Professional		$28.58	$28.58	$46.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.73 / $46.73 / $73.27	Professional		$46.73	$46.73	$73.27
United Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $10.74 / $29.12	Facility		$10.74	$10.74	$29.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.74 / $35.20	Professional		$7.25	$10.74	$35.20