Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $31.51 / $57.71	Facility		$16.96	$31.51	$57.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $16.96 / $122.00	Professional		$10.84	$16.96	$122.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.38 / $36.74 / $38.86	Facility		$30.38	$36.74	$38.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $57.63	Professional		$5.92	$5.92	$57.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $34.53 / $35.89	Facility		$9.34	$34.53	$35.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $45.28 / $69.45	Facility		$38.75	$45.28	$69.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $38.04 / $43.24	Professional		$16.52	$38.04	$43.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.30 / $16.96	Facility		$10.68	$11.30	$16.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.59 / $80.54	Facility		$10.68	$11.59	$80.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $14.13 / $35.20	Professional		$8.48	$14.13	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $23.51 / $85.00	Professional		$7.07	$23.51	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.30 / $16.96	Facility		$10.68	$11.30	$16.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $33.94 / $48.40	Professional		$16.72	$33.94	$48.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.26 / $50.00 / $80.54	Facility		$28.26	$50.00	$80.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $7.84 / $11.76	Professional		$7.49	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $25.54 / $30.09	Professional		$25.54	$25.54	$30.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $25.54 / $77.15	Professional		$25.54	$25.54	$77.15
United Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $14.13 / $35.20	Professional		$8.19	$14.13	$35.20