Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $30.88 / $30.88	Professional		$30.88	$30.88	$30.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $93.08	Professional		$4.90	$4.90	$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 $36.95 / $43.17 / $66.23	Facility		$36.95	$43.17	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $64.30 / $73.06	Professional		$16.93	$64.30	$73.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $29.32	Facility		$16.07	$16.07	$29.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.61 / $16.07 / $112.04	Facility		$7.61	$16.07	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $19.34 / $43.93	Professional		$11.81	$19.34	$43.93
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 $16.07 / $16.07 / $29.32	Facility		$16.07	$16.07	$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 $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $18.36 / $43.93	Professional		$11.81	$18.36	$43.93