Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $12.68 / $23.57	Facility		$12.68	$12.68	$23.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.57 / $12.68	Professional		$5.00	$10.57	$12.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $28.83 / $30.50	Facility		$23.84	$28.83	$30.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $5.00 / $21.50	Professional		$2.00	$5.00	$21.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $12.22 / $14.42	Facility		$2.75	$12.22	$14.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $34.75 / $53.31	Facility		$29.74	$34.75	$53.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $14.53 / $33.14	Professional		$2.65	$14.53	$33.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $8.67 / $12.68	Facility		$5.50	$8.67	$12.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $9.15 / $75.00	Facility		$5.50	$9.15	$75.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $5.80 / $13.31	Professional		$3.00	$5.80	$13.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $16.64 / $85.00	Professional		$4.26	$16.64	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $8.67 / $12.68	Facility		$5.50	$8.67	$12.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $26.82 / $37.40	Professional		$12.23	$26.82	$37.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $21.66 / $75.00	Facility		$21.66	$21.66	$75.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $2.65	Professional		$2.63	$2.63	$2.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $10.65	Professional		$3.75	$3.75	$10.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $18.38 / $59.13	Professional		$3.75	$18.38	$59.13
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $5.00 / $13.31	Professional		$3.00	$5.00	$13.31