Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $15.44 / $15.44	Professional		$15.44	$15.44	$15.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $93.08	Professional		$6.77	$6.77	$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 $63.08 / $73.70 / $113.08	Facility		$63.08	$73.70	$113.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $64.30 / $73.06	Professional		$28.91	$64.30	$73.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $17.32 / $29.32	Facility		$17.32	$17.32	$29.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.61 / $17.32 / $112.04	Facility		$7.61	$17.32	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $19.34 / $60.77	Professional		$13.16	$19.34	$60.77
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 $17.32 / $17.32 / $29.32	Facility		$17.32	$17.32	$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 $17.00 / $17.00 / $17.00	Professional		$17.00	$17.00	$17.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $17.00	Professional		$17.00	$17.00	$17.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $17.32 / $60.77	Professional		$12.48	$17.32	$60.77