Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.09 / $17.37 / $945.42	Facility		$8.09	$17.37	$945.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $8.16 / $502.43	Professional		$7.84	$8.16	$502.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $16.88 / $17.51	Facility		$14.52	$16.88	$17.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $7.85 / $11.77	Professional		$7.85	$7.85	$11.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $10.75 / $12.56	Facility		$10.75	$10.75	$12.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.85 / $18.50 / $26.44	Facility		$7.85	$18.50	$26.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $12.20 / $13.86	Professional		$7.42	$12.20	$13.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $7.57 / $17.11	Facility		$7.57	$7.57	$17.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $7.57 / $16.39	Facility		$7.57	$7.57	$16.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $8.43 / $11.14	Professional		$7.57	$8.43	$11.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $7.85 / $85.00	Professional		$7.07	$7.85	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $7.57 / $17.11	Facility		$7.57	$7.57	$17.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $9.89 / $25.30	Professional		$7.64	$9.89	$25.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.85 / $7.85 / $85.00	Facility		$7.85	$7.85	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $7.85 / $7.85	Professional		$7.85	$7.85	$7.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $11.02 / $14.20	Professional		$11.02	$11.02	$14.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $8.74 / $13.93	Professional		$7.85	$8.74	$13.93