Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $29.41 / $34.65	Facility		$15.54	$29.41	$34.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.56 / $31.70	Professional		$15.11	$15.56	$31.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $27.95 / $33.70	Facility		$18.89	$27.95	$33.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $19.18	Professional		$15.11	$15.11	$19.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $20.68 / $24.18	Facility		$20.68	$20.68	$24.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $35.83 / $51.22	Facility		$15.11	$35.83	$51.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $22.33 / $25.38	Professional		$15.11	$22.33	$25.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $15.08 / $33.50	Facility		$9.94	$15.08	$33.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $30.22 / $30.22	Professional		$22.62	$30.22	$30.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $15.08 / $33.50	Facility		$9.94	$15.08	$33.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $15.08 / $30.22	Professional		$15.08	$15.08	$30.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $65.00 / $85.00	Professional		$14.74	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $15.08 / $33.50	Facility		$9.94	$15.08	$33.50
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $30.22 / $30.22	Professional		$22.62	$30.22	$30.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $18.32 / $46.00	Professional		$15.11	$18.32	$46.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $15.11 / $100.00	Facility		$15.11	$15.11	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $15.11	Professional		$15.11	$15.11	$15.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $21.21 / $21.21	Professional		$13.68	$21.21	$21.21
United Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $20.69	Professional		$15.11	$15.11	$20.69