Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $12.95 / $24.86	Facility		$12.95	$12.95	$24.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $9.02 / $21.38	Professional		$6.32	$9.02	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $12.38 / $40.17	Professional		$6.82	$12.38	$40.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.32 / $8.06 / $9.60	Facility		$6.32	$8.06	$9.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $7.13 / $15.26	Professional		$6.51	$7.13	$15.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $20.01 / $30.69	Facility		$17.12	$20.01	$30.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $19.26 / $22.97	Professional		$10.44	$19.26	$22.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $11.01 / $23.31	Facility		$6.63	$11.01	$23.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.39 / $10.63 / $31.08	Facility		$6.39	$10.63	$31.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $14.11 / $71.00	Professional		$7.31	$14.11	$71.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $58.40 / $85.00	Professional		$9.59	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $10.63 / $23.31	Facility		$6.63	$10.63	$23.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $18.92 / $24.57	Professional		$12.00	$18.92	$24.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $167.00 / $167.00	Facility		$8.86	$167.00	$167.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $36.28 / $71.00	Professional		$11.36	$36.28	$71.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $41.69 / $45.58	Professional		$28.81	$41.69	$45.58
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $13.69 / $30.24	Professional		$7.22	$13.69	$30.24