Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $19.10 / $28.39	Facility		$15.28	$19.10	$28.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $15.28 / $47.16	Professional		$10.44	$15.28	$47.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $33.10 / $35.01	Facility		$27.37	$33.10	$35.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $52.67	Professional		$5.92	$5.92	$52.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.58 / $32.54 / $33.83	Facility		$9.58	$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 / $34.28 / $38.95	Professional		$14.46	$34.28	$38.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $6.75 / $15.28	Facility		$6.75	$6.75	$15.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $10.44 / $70.00	Facility		$6.75	$10.44	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $12.73 / $35.20	Professional		$7.64	$12.73	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $23.51 / $85.00	Professional		$6.37	$23.51	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $6.75 / $15.28	Facility		$6.75	$6.75	$15.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $30.89 / $65.98	Professional		$14.82	$30.89	$65.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.75 / $70.00	Facility		$25.46	$25.75	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $7.84 / $11.76	Professional		$6.75	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $27.11 / $186.95	Professional		$27.11	$27.11	$186.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $69.51 / $186.95	Professional		$47.78	$69.51	$186.95
United Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $12.73 / $12.73	Facility		$12.73	$12.73	$12.73
United Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $10.18 / $34.89	Professional		$7.04	$10.18	$34.89