Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $22.08 / $22.08	Facility		$22.08	$22.08	$22.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $17.30 / $22.08	Professional		$15.09	$17.30	$22.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $75.05	Professional		$9.35	$9.35	$75.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $28.05	Facility		$18.39	$18.39	$28.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $58.97 / $90.46	Facility		$50.46	$58.97	$90.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $49.54 / $56.30	Professional		$21.06	$49.54	$56.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $16.55 / $23.55	Facility		$9.57	$16.55	$23.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $18.39 / $87.40	Facility		$9.57	$18.39	$87.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $18.39 / $38.64	Professional		$10.67	$18.39	$38.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $85.00 / $85.00	Professional		$9.19	$85.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $16.55 / $23.55	Facility		$9.57	$16.55	$23.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $43.96 / $62.70	Professional		$21.66	$43.96	$62.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $36.79 / $87.40	Facility		$36.79	$36.79	$87.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $9.75 / $9.75	Professional		$9.75	$9.75	$9.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $39.18 / $39.18	Professional		$39.18	$39.18	$39.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $100.46 / $100.46	Professional		$100.46	$100.46	$100.46
United Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Facility		$18.39	$18.39	$18.39
United Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $14.72 / $38.64	Professional		$9.94	$14.72	$38.64