Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $19.20 / $79.95	Facility		$10.33	$19.20	$79.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.33 / $55.36	Professional		$7.06	$10.33	$55.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.51 / $22.39 / $23.68	Facility		$18.51	$22.39	$23.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.25 / $35.40	Professional		$4.25	$4.25	$35.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $23.39 / $24.31	Facility		$5.98	$23.39	$24.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $27.38 / $42.00	Facility		$23.43	$27.38	$42.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $25.70 / $29.20	Professional		$9.91	$25.70	$29.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $7.67 / $10.33	Facility		$7.67	$7.67	$10.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.06 / $8.09 / $100.00	Facility		$7.06	$8.09	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $10.33 / $23.25	Professional		$5.17	$10.33	$23.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $16.88 / $85.00	Professional		$4.30	$16.88	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $7.67 / $10.33	Facility		$7.67	$7.67	$10.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $21.38 / $43.91	Professional		$10.53	$21.38	$43.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.22 / $18.48 / $100.00	Facility		$17.22	$18.48	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $5.72 / $8.36	Professional		$4.55	$5.72	$8.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $11.81 / $39.04	Professional		$11.81	$11.81	$39.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $39.04 / $60.08	Professional		$15.96	$39.04	$60.08
United Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $8.61 / $25.26	Professional		$5.17	$8.61	$25.26