Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Facility		$20.65	$20.65	$20.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $16.18 / $20.65	Professional		$13.77	$16.18	$20.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $70.20	Professional		$7.65	$7.65	$70.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $26.09 / $26.09	Facility		$26.09	$26.09	$26.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $55.81 / $85.61	Facility		$47.76	$55.81	$85.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $46.34 / $52.66	Professional		$20.42	$46.34	$52.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $20.65 / $60.24	Facility		$13.25	$20.65	$60.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $20.65 / $60.24	Facility		$13.25	$20.65	$60.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $10.33 / $53.07	Professional		$8.61	$10.33	$53.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $20.65 / $60.24	Facility		$13.25	$20.65	$60.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $40.88 / $57.34	Professional		$28.62	$40.88	$57.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.42 / $81.75 / $81.75	Facility		$34.42	$81.75	$81.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $86.05 / $86.05	Professional		$68.84	$86.05	$86.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $36.65 / $36.65	Professional		$36.65	$36.65	$36.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $93.97 / $93.97	Professional		$50.02	$93.97	$93.97
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $10.33 / $32.03	Professional		$7.23	$10.33	$32.03