Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $9.69 / $9.69	Facility		$9.69	$9.69	$9.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $7.60 / $9.69	Professional		$6.63	$7.60	$9.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $13.28 / $32.32	Professional		$8.08	$13.28	$32.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.16 / $8.08 / $12.31	Facility		$6.16	$8.08	$12.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $26.33 / $40.38	Facility		$22.53	$26.33	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $21.76 / $24.73	Professional		$9.50	$21.76	$24.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $6.63 / $9.69	Facility		$4.20	$6.63	$9.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $7.27 / $60.00	Facility		$4.20	$7.27	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $8.08 / $16.97	Professional		$4.69	$8.08	$16.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $6.63 / $9.69	Facility		$4.20	$6.63	$9.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $19.28 / $27.50	Professional		$9.50	$19.28	$27.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $16.16 / $60.00	Facility		$16.16	$16.16	$60.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $17.21 / $17.21	Professional		$17.21	$17.21	$17.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.12 / $44.12 / $44.12	Professional		$44.12	$44.12	$44.12
United Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $8.08 / $8.08	Facility		$8.08	$8.08	$8.08
United Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $8.08 / $22.38	Professional		$4.36	$8.08	$22.38