Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Facility		$20.72	$20.72	$20.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $16.23 / $20.72	Professional		$14.16	$16.23	$20.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $11.33 / $70.45	Professional		$11.33	$11.33	$70.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $17.27 / $26.09	Facility		$17.27	$17.27	$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 $19.82 / $46.51 / $52.85	Professional		$19.82	$46.51	$52.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $15.54 / $22.11	Facility		$8.98	$15.54	$22.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $17.27 / $82.03	Facility		$8.98	$17.27	$82.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $17.27 / $36.27	Professional		$10.02	$17.27	$36.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $85.00 / $85.00	Professional		$8.64	$85.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $15.54 / $22.11	Facility		$8.98	$15.54	$22.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $40.88 / $58.30	Professional		$20.14	$40.88	$58.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $34.54 / $82.03	Facility		$34.54	$34.54	$82.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $9.15 / $9.15	Professional		$9.15	$9.15	$9.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $36.78 / $36.78	Professional		$36.78	$36.78	$36.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $94.29 / $94.29 / $94.29	Professional		$94.29	$94.29	$94.29
United Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Facility		$20.72	$20.72	$20.72
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.82 / $32.15	Professional		$9.33	$13.82	$32.15