Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $37.10 / $78.66	Facility		$12.40	$37.10	$78.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $11.94 / $59.50	Professional		$8.47	$11.94	$59.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $26.86 / $28.41	Facility		$22.21	$26.86	$28.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $42.75	Professional		$5.09	$5.09	$42.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.55 / $28.05 / $29.16	Facility		$7.55	$28.05	$29.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.70 / $51.69	Facility		$28.84	$33.70	$51.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $27.82 / $31.61	Professional		$11.98	$27.82	$31.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $9.19 / $12.40	Facility		$9.19	$9.19	$12.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.47 / $9.30 / $76.81	Facility		$8.47	$9.30	$76.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $10.33 / $28.61	Professional		$6.20	$10.33	$28.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $20.25 / $85.00	Professional		$5.17	$20.25	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $9.19 / $12.40	Facility		$9.19	$9.19	$12.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $25.34 / $35.20	Professional		$12.63	$25.34	$35.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $22.16 / $76.81	Facility		$20.66	$22.16	$76.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $6.86 / $10.19	Professional		$5.47	$6.86	$10.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $51.50	Professional		$22.00	$22.00	$51.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.18 / $51.50 / $56.40	Professional		$41.18	$51.50	$56.40
United Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $10.33 / $10.33	Facility		$10.33	$10.33	$10.33
United Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $10.33 / $25.57	Professional		$5.99	$10.33	$25.57