Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.95 / $21.95 / $40.79	Facility		$21.95	$21.95	$40.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $21.95 / $21.95	Professional		$15.00	$21.95	$21.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.32 / $47.55 / $50.30	Facility		$39.32	$47.55	$50.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $7.32 / $74.59	Professional		$7.32	$7.32	$74.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $44.70 / $46.46	Facility		$15.73	$44.70	$46.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $58.97 / $90.46	Facility		$50.46	$58.97	$90.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $23.91 / $55.96	Professional		$9.69	$23.91	$55.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.15 / $16.46 / $23.41	Facility		$9.15	$16.46	$23.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.06 / $18.29 / $86.88	Facility		$10.06	$18.29	$86.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $18.29 / $40.53	Professional		$10.61	$18.29	$40.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $55.00 / $85.00	Professional		$9.15	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.15 / $16.46 / $23.41	Facility		$9.15	$16.46	$23.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $44.96 / $62.70	Professional		$20.50	$44.96	$62.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.58 / $36.58 / $86.88	Facility		$36.58	$36.58	$86.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $9.69	Professional		$9.61	$9.61	$9.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $14.10 / $38.95	Professional		$14.10	$14.10	$38.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.15 / $99.86 / $99.86	Professional		$53.15	$99.86	$99.86
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $14.63 / $40.53	Professional		$9.65	$14.63	$40.53