Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.76 / $35.51 / $41.83	Facility		$18.76	$35.51	$41.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.85 / $47.68	Professional		$18.30	$18.85	$47.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.88 / $33.86 / $40.81	Facility		$22.88	$33.86	$40.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $26.53	Professional		$18.30	$18.30	$26.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $25.05 / $29.28	Facility		$25.05	$25.05	$29.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $43.07 / $61.56	Facility		$18.30	$43.07	$61.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $27.36 / $31.09	Professional		$18.34	$27.36	$31.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.22 / $18.21 / $40.64	Facility		$17.22	$18.21	$40.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $36.60 / $36.60	Professional		$27.32	$36.60	$36.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.22 / $18.21 / $59.54	Facility		$17.22	$18.21	$59.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $18.21 / $36.60	Professional		$18.21	$18.21	$36.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $65.00 / $85.00	Professional		$18.01	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.22 / $18.21 / $40.64	Facility		$17.22	$18.21	$40.64
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $36.60 / $36.60	Professional		$27.32	$36.60	$36.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $24.07 / $61.60	Professional		$18.30	$24.07	$61.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $18.30 / $91.00	Facility		$18.30	$18.30	$91.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Professional		$18.30	$18.30	$18.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $25.69 / $25.69	Professional		$23.60	$25.69	$25.69
United Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $25.06	Professional		$18.30	$18.30	$25.06