Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $15.30 / $17.54	Professional		$14.37	$15.30	$17.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $74.64	Professional		$7.65	$7.65	$74.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.03 / $18.66 / $28.54	Facility		$14.03	$18.66	$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 / $50.25 / $57.10	Professional		$21.48	$50.25	$57.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $15.30 / $22.39	Facility		$9.69	$15.30	$22.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $16.79 / $88.64	Facility		$9.69	$16.79	$88.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $18.66 / $39.19	Professional		$10.82	$18.66	$39.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $85.00 / $85.00	Professional		$9.33	$85.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $15.30 / $22.39	Facility		$9.69	$15.30	$22.39
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 $37.32 / $37.32 / $88.64	Facility		$37.32	$37.32	$88.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $39.75 / $39.75	Professional		$39.75	$39.75	$39.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $101.88 / $101.88 / $101.88	Professional		$101.88	$101.88	$101.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.20 / $39.19	Professional		$9.33	$11.20	$39.19