Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $14.06 / $20.90	Facility		$11.24	$14.06	$20.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $8.90 / $19.73	Professional		$7.68	$8.90	$19.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $24.36 / $25.77	Facility		$20.14	$24.36	$25.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $38.22	Professional		$3.75	$3.75	$38.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $22.90 / $26.14	Facility		$9.36	$22.90	$26.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $30.54 / $46.85	Facility		$26.13	$30.54	$46.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $27.43 / $31.18	Professional		$10.74	$27.43	$31.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $11.24	Facility		$4.69	$4.69	$11.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $7.68 / $80.00	Facility		$4.69	$7.68	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $9.36 / $29.95	Professional		$5.86	$9.36	$29.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $14.06 / $85.00	Professional		$4.69	$14.06	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $11.24	Facility		$4.69	$4.69	$11.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $22.37 / $31.90	Professional		$11.02	$22.37	$31.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $18.73 / $80.00	Facility		$18.73	$18.73	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $3.51 / $3.51	Professional		$3.27	$3.51	$3.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $5.16 / $19.95	Professional		$5.16	$5.16	$19.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $19.98 / $51.16	Professional		$5.16	$19.98	$51.16
United Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $11.24 / $11.24	Facility		$11.24	$11.24	$11.24
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.36 / $26.99	Professional		$5.62	$9.36	$26.99