Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $26.79 / $26.79	Professional		$26.79	$26.79	$26.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $93.08	Professional		$6.05	$6.05	$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 $42.35 / $49.49 / $75.92	Facility		$42.35	$49.49	$75.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $64.30 / $73.06	Professional		$19.41	$64.30	$73.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $13.85 / $29.32	Facility		$13.85	$13.85	$29.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $13.85 / $112.04	Facility		$13.85	$13.85	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $19.34 / $43.20	Professional		$11.62	$19.34	$43.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $3,000.00	Professional		$55.00	$65.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $13.85 / $29.32	Facility		$13.85	$13.85	$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
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $15.16 / $15.16	Professional		$15.16	$15.16	$15.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $15.16 / $15.16	Professional		$15.16	$15.16	$15.16
United Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $13.62 / $19.34	Facility		$11.97	$13.62	$19.34
United Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $18.36 / $43.20	Professional		$11.56	$18.36	$43.20