Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $24.00 / $35.68	Facility		$19.20	$24.00	$35.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $15.20 / $21.97	Professional		$10.74	$15.20	$21.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $41.60 / $44.00	Facility		$34.40	$41.60	$44.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $6.40 / $65.27	Professional		$6.40	$6.40	$65.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $39.10 / $40.64	Facility		$11.93	$39.10	$40.64
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 $18.17 / $43.09 / $48.96	Professional		$18.17	$43.09	$48.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $19.20	Facility		$8.00	$8.00	$19.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $14.40 / $121.83	Facility		$8.00	$14.40	$121.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $16.00 / $35.20	Professional		$9.27	$16.00	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $24.00 / $85.00	Professional		$8.00	$24.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $19.20	Facility		$8.00	$8.00	$19.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $37.79 / $53.01	Professional		$18.62	$37.79	$53.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $32.00 / $121.83	Facility		$32.00	$32.00	$121.83
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 $18.82 / $18.82 / $34.07	Professional		$18.82	$18.82	$34.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $46.50 / $87.36	Professional		$18.82	$46.50	$87.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $13.15 / $34.25	Professional		$8.64	$13.15	$34.25