Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $14.38 / $26.72	Facility		$14.38	$14.38	$26.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $11.26 / $14.38	Professional		$9.82	$11.26	$14.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $31.15 / $32.95	Facility		$25.76	$31.15	$32.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $7.30 / $49.56	Professional		$5.92	$7.30	$49.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $32.54 / $33.83	Facility		$10.30	$32.54	$33.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $59.77	Facility		$33.34	$38.96	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $15.47 / $36.65	Professional		$6.35	$15.47	$36.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $10.91 / $15.33	Facility		$6.35	$10.91	$15.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.49 / $11.98 / $80.00	Facility		$6.49	$11.98	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $11.98 / $33.18	Professional		$7.19	$11.98	$33.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $42.33 / $85.00	Professional		$5.99	$42.33	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $10.91 / $15.33	Facility		$6.35	$10.91	$15.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $29.19 / $40.70	Professional		$13.85	$29.19	$40.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.96 / $23.96 / $80.00	Facility		$23.96	$23.96	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.30 / $6.35	Professional		$6.30	$6.30	$6.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $25.51	Professional		$12.33	$12.33	$25.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $47.78 / $65.41	Professional		$12.33	$47.78	$65.41
United Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $10.13 / $35.45	Professional		$6.95	$10.13	$35.45