Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $16.01 / $23.79	Facility		$12.80	$16.01	$23.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $10.14 / $68.61	Professional		$8.75	$10.14	$68.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $27.74 / $29.34	Facility		$22.94	$27.74	$29.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $5.27 / $44.15	Professional		$5.27	$5.27	$44.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $28.99 / $30.12	Facility		$7.80	$28.99	$30.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $34.75 / $53.31	Facility		$29.74	$34.75	$53.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $28.73 / $32.65	Professional		$12.39	$28.73	$32.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.51 / $9.51 / $12.80	Facility		$9.51	$9.51	$12.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $9.60 / $225.45	Facility		$8.75	$9.60	$225.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $10.67 / $29.56	Professional		$6.40	$10.67	$29.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $20.92 / $85.00	Professional		$5.28	$20.92	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.51 / $9.51 / $12.80	Facility		$9.51	$9.51	$12.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $26.14 / $109.82	Professional		$13.05	$26.14	$109.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.34 / $22.90 / $225.45	Facility		$21.34	$22.90	$225.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $7.02 / $10.45	Professional		$5.66	$7.02	$10.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $14.63 / $224.95	Professional		$14.63	$14.63	$224.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $74.45 / $224.95	Professional		$15.63	$74.45	$224.95
United Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $8.80 / $26.42	Professional		$6.19	$8.80	$26.42