Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $19.61 / $29.15	Facility		$15.68	$19.61	$29.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $15.68 / $20.92	Professional		$5.30	$15.68	$20.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $33.97 / $35.94	Facility		$28.10	$33.97	$35.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $9.93 / $55.98	Professional		$5.72	$9.93	$55.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.60 / $34.60 / $36.47	Facility		$34.60	$34.60	$36.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $38.22 / $43.49	Professional		$14.31	$38.22	$43.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $15.68 / $45.75	Facility		$11.76	$15.68	$45.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $15.68 / $45.75	Facility		$11.76	$15.68	$45.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $14.22 / $605.22	Professional		$9.51	$14.22	$605.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $55.00 / $85.00	Professional		$9.51	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $15.68 / $45.75	Facility		$11.76	$15.68	$45.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $33.76 / $45.42	Professional		$26.00	$33.76	$45.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $224.00 / $224.00	Facility		$26.14	$224.00	$224.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $65.34 / $605.22	Professional		$12.95	$65.34	$605.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.19 / $27.83	Professional		$7.19	$7.19	$27.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.19 / $71.36	Professional		$7.19	$7.19	$71.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $13.07 / $36.92	Professional		$8.50	$13.07	$36.92