Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $14.76 / $21.94	Facility		$11.81	$14.76	$21.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $9.35 / $35.06	Professional		$8.07	$9.35	$35.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $25.58 / $27.06	Facility		$21.16	$25.58	$27.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $4.41 / $40.14	Professional		$4.41	$4.41	$40.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $24.24 / $25.20	Facility		$7.19	$24.24	$25.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $31.59 / $48.46	Facility		$27.03	$31.59	$48.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $29.37 / $33.38	Professional		$11.15	$29.37	$33.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $11.81	Facility		$7.94	$7.94	$11.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $8.58 / $100.00	Facility		$7.94	$8.58	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $11.81 / $26.15	Professional		$5.90	$11.81	$26.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $17.48 / $85.00	Professional		$4.92	$17.48	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $11.81	Facility		$7.94	$7.94	$11.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $23.76 / $53.35	Professional		$11.40	$23.76	$53.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.68 / $19.68 / $100.00	Facility		$19.68	$19.68	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $5.88 / $8.61	Professional		$5.22	$5.88	$8.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $68.67 / $68.67	Professional		$13.08	$68.67	$68.67
United Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $9.84 / $26.15	Professional		$5.90	$9.84	$26.15