Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.56 / $100.56 / $100.56	Facility		$100.56	$100.56	$100.56
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 $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $64.30 / $73.06	Professional		$16.52	$64.30	$73.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $29.32	Facility		$18.39	$18.39	$29.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.61 / $18.39 / $112.04	Facility		$7.61	$18.39	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $22.95 / $49.79	Professional		$13.16	$22.95	$49.79
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 $18.39 / $18.39 / $29.32	Facility		$18.39	$18.39	$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 $15.25 / $15.25 / $15.25	Professional		$15.25	$15.25	$15.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $15.25 / $15.25	Professional		$15.25	$15.25	$15.25
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $18.36 / $49.79	Professional		$11.97	$18.36	$49.79