Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $15.57 / $23.15	Facility		$12.46	$15.57	$23.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.86 / $21.91	Professional		$8.51	$9.86	$21.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $26.99 / $28.55	Facility		$22.32	$26.99	$28.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $42.35	Professional		$4.88	$4.88	$42.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $26.86 / $27.91	Facility		$7.59	$26.86	$27.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.70 / $51.69	Facility		$28.84	$33.70	$51.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $27.95 / $31.76	Professional		$11.98	$27.95	$31.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $12.46	Facility		$5.50	$5.50	$12.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $8.51 / $151.46	Facility		$5.50	$8.51	$151.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $8.17 / $21.98	Professional		$4.55	$8.17	$21.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $15.57 / $85.00	Professional		$5.14	$15.57	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $12.46	Facility		$5.50	$5.50	$12.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $25.34 / $114.22	Professional		$12.16	$25.34	$114.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $20.76 / $151.46	Facility		$20.76	$20.76	$151.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.53 / $9.67	Professional		$5.50	$6.53	$9.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $72.44 / $72.44	Professional		$8.16	$72.44	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $8.30 / $19.32	Professional		$4.58	$8.30	$19.32