Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $7.51 / $11.99	Professional		$6.15	$7.51	$11.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $16.28 / $40.78	Professional		$4.53	$16.28	$40.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.51 / $23.51 / $24.78	Facility		$23.51	$23.51	$24.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $28.72 / $40.76	Facility		$25.27	$28.72	$40.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $12.06 / $26.59	Professional		$8.81	$12.06	$26.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $13.36 / $27.97	Facility		$7.19	$13.36	$27.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $13.36 / $33.53	Facility		$7.19	$13.36	$33.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $11.32 / $107.00	Professional		$6.39	$11.32	$107.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $58.40 / $85.00	Professional		$4.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $13.36 / $27.97	Facility		$7.19	$13.36	$27.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $19.72 / $28.04	Professional		$15.00	$19.72	$28.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.98 / $15.98 / $100.00	Facility		$15.98	$15.98	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $42.53 / $107.00	Professional		$10.85	$42.53	$107.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $8.22 / $17.02	Professional		$8.22	$8.22	$17.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $31.85 / $43.63	Professional		$8.22	$31.85	$43.63
United Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $8.11 / $28.92	Professional		$6.39	$8.11	$28.92