Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $11.30 / $42.63	Facility		$11.30	$11.30	$42.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.86 / $85.25	Professional		$8.51	$12.86	$85.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $14.00 / $35.68	Professional		$9.00	$14.00	$35.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $10.35 / $13.92	Facility		$7.76	$10.35	$13.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $12.36 / $22.37	Professional		$8.94	$12.36	$22.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $36.86 / $56.54	Facility		$31.54	$36.86	$56.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $35.40 / $42.54	Professional		$14.35	$35.40	$42.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $11.90 / $67.92	Facility		$9.68	$11.90	$67.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $11.92 / $30.57	Facility		$9.31	$11.92	$30.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $28.53 / $329.00	Professional		$11.72	$28.53	$329.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $9.92 / $65.00	Professional		$7.15	$9.92	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $11.92 / $67.92	Facility		$9.68	$11.92	$67.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $21.00 / $34.08	Professional		$12.59	$21.00	$34.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.35 / $27.35 / $27.35	Facility		$27.35	$27.35	$27.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.23 / $49.23 / $329.00	Professional		$49.23	$49.23	$329.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $12.60 / $12.60	Professional		$12.60	$12.60	$12.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $58.75 / $231.31	Professional		$22.99	$58.75	$231.31
United Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $20.05 / $36.14	Professional		$10.41	$20.05	$36.14