Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $57.77 / $57.77	Professional		$13.33	$57.77	$57.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $137.88	Professional		$7.20	$7.20	$137.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $35.75 / $86.49	Facility		$11.48	$35.75	$86.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $34.04	Professional		$34.04	$34.04	$34.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $58.97 / $95.12	Facility		$50.46	$58.97	$95.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $73.62 / $130.84	Professional		$23.13	$73.62	$130.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $13.09 / $43.58	Facility		$13.09	$13.09	$43.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.61 / $13.09 / $166.51	Facility		$7.61	$13.09	$166.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $24.66 / $74.41	Professional		$12.10	$24.66	$74.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $36.63 / $3,000.00	Professional		$9.08	$36.63	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $13.09 / $43.58	Facility		$13.09	$13.09	$43.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $86.77 / $162.51	Professional		$48.05	$86.77	$162.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.08 / $70.08 / $166.51	Facility		$70.08	$70.08	$166.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.83 / $14.37	Professional		$9.64	$9.83	$14.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $51.50 / $51.50	Professional		$51.50	$51.50	$51.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $51.50 / $74.17	Professional		$51.50	$51.50	$74.17
United Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $24.66 / $109.64	Professional		$12.32	$24.66	$109.64