Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $18.98 / $28.23	Facility		$15.19	$18.98	$28.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $12.03 / $47.16	Professional		$10.38	$12.03	$47.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $32.92 / $34.82	Facility		$27.22	$32.92	$34.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $52.38	Professional		$5.92	$5.92	$52.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.53 / $32.54 / $33.83	Facility		$9.53	$32.54	$33.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $41.07 / $63.00	Facility		$35.14	$41.07	$63.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $34.09 / $38.74	Professional		$14.46	$34.09	$38.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $15.19	Facility		$10.68	$10.68	$15.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $11.39 / $72.00	Facility		$10.38	$11.39	$72.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $12.66 / $35.07	Professional		$7.60	$12.66	$35.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $34.94 / $85.00	Professional		$6.33	$34.94	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $15.19	Facility		$10.68	$10.68	$15.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $30.89 / $51.16	Professional		$14.82	$30.89	$51.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.32 / $50.00 / $72.00	Facility		$25.32	$50.00	$72.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $7.84 / $11.76	Professional		$6.71	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $26.96	Professional		$12.33	$12.33	$26.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $40.61 / $69.12	Professional		$12.33	$40.61	$69.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $10.13 / $34.69	Professional		$7.19	$10.13	$34.69