Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $13.97 / $13.97	Professional		$11.89	$13.97	$13.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $60.62	Professional		$6.61	$6.61	$60.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $22.64 / $22.64	Facility		$22.64	$22.64	$22.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $47.39 / $72.69	Facility		$40.54	$47.39	$72.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $40.02 / $45.48	Professional		$17.44	$40.02	$45.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.44 / $17.82 / $52.01	Facility		$11.44	$17.82	$52.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.44 / $17.82 / $52.01	Facility		$11.44	$17.82	$52.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $8.92 / $45.83	Professional		$7.43	$8.92	$45.83
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 $11.44 / $17.82 / $52.01	Facility		$11.44	$17.82	$52.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $35.47 / $49.76	Professional		$24.84	$35.47	$49.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.72 / $70.59 / $70.59	Facility		$29.72	$70.59	$70.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $74.30 / $74.30	Professional		$59.44	$74.30	$74.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $31.65 / $31.65	Professional		$31.65	$31.65	$31.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $81.14 / $81.14	Professional		$43.19	$81.14	$81.14
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.92 / $31.21	Professional		$6.46	$8.92	$31.21