Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.36 / $22.36 / $22.36	Facility		$22.36	$22.36	$22.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $15.28 / $22.36	Professional		$14.35	$15.28	$22.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.11 / $74.52	Professional		$2.11	$2.11	$74.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $18.63 / $28.54	Facility		$18.63	$18.63	$28.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $60.02 / $92.08	Facility		$51.36	$60.02	$92.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $50.17 / $57.01	Professional		$21.48	$50.17	$57.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $16.77 / $23.85	Facility		$9.68	$16.77	$23.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $18.63 / $88.49	Facility		$9.68	$18.63	$88.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $18.63 / $39.11	Professional		$10.81	$18.63	$39.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $55.00 / $85.00	Professional		$9.32	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $16.77 / $23.85	Facility		$9.68	$16.77	$23.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $44.74 / $63.80	Professional		$22.04	$44.74	$63.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.26 / $37.26 / $88.49	Facility		$37.26	$37.26	$88.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $9.76 / $9.76	Professional		$9.76	$9.76	$9.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $39.67 / $39.67	Professional		$39.67	$39.67	$39.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.81 / $101.72 / $101.72	Professional		$97.81	$101.72	$101.72
United Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $14.90 / $14.90	Facility		$14.90	$14.90	$14.90
United Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $11.18 / $39.11	Professional		$9.32	$11.18	$39.11