Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.90 / $113.90 / $113.90	Facility		$113.90	$113.90	$113.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $4.46 / $93.08	Professional		$4.46	$4.46	$93.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $55.99 / $58.19	Facility		$24.06	$55.99	$58.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $40.02 / $61.38	Facility		$34.24	$40.02	$61.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $64.30 / $73.06	Professional		$15.69	$64.30	$73.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $9.61 / $29.32	Facility		$9.61	$9.61	$29.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $47.35 / $212.49	Facility		$9.61	$47.35	$212.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $18.36 / $42.55	Professional		$8.08	$18.36	$42.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $85.00 / $3,000.00	Professional		$59.35	$85.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $9.61 / $29.32	Facility		$9.61	$9.61	$29.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $56.98 / $80.05	Professional		$32.32	$56.98	$80.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $50.00 / $112.04	Facility		$45.88	$50.00	$112.04
United Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $14.36 / $42.55	Professional		$10.07	$14.36	$42.55