Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $16.89 / $26.97	Professional		$13.84	$16.89	$26.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $34.90 / $83.25	Professional		$8.88	$34.90	$83.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.87 / $52.87 / $55.72	Facility		$52.87	$52.87	$55.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $65.81 / $93.42	Facility		$57.92	$65.81	$93.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $26.23 / $59.84	Professional		$19.27	$26.23	$59.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $21.58 / $62.93	Facility		$16.18	$21.58	$62.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $24.27 / $63.60	Facility		$16.18	$24.27	$63.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $21.97 / $134.00	Professional		$12.31	$21.97	$134.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $58.40 / $85.00	Professional		$8.99	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $21.58 / $62.93	Facility		$16.18	$21.58	$62.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $44.17 / $98.81	Professional		$33.60	$44.17	$98.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $35.96 / $100.00	Facility		$35.96	$35.96	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $89.90 / $134.00	Professional		$20.41	$89.90	$134.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $38.29	Professional		$15.49	$15.49	$38.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $49.37 / $98.17	Professional		$15.49	$49.37	$98.17
United Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $17.98 / $58.44	Professional		$12.31	$17.98	$58.44