Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $16.27 / $21.87	Professional		$13.33	$16.27	$21.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $30.41 / $74.08	Professional		$8.61	$30.41	$74.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.69 / $44.69 / $47.10	Facility		$44.69	$44.69	$47.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.86 / $64.62 / $91.72	Facility		$56.86	$64.62	$91.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $26.23 / $59.10	Professional		$13.36	$26.23	$59.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $21.83 / $64.75	Facility		$15.58	$21.83	$64.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $24.00 / $97.00	Facility		$15.58	$24.00	$97.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $22.08 / $108.24	Professional		$10.40	$22.08	$108.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $65.00 / $85.00	Professional		$9.10	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $21.83 / $64.75	Facility		$15.58	$21.83	$64.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $43.19 / $62.82	Professional		$33.60	$43.19	$62.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.52 / $35.52 / $97.00	Facility		$35.52	$35.52	$97.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $108.24 / $178.79	Professional		$19.60	$108.24	$178.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $10.87 / $34.07	Professional		$10.87	$10.87	$34.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $46.50 / $99.14	Professional		$10.87	$46.50	$99.14
United Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $16.00 / $48.90	Professional		$11.34	$16.00	$48.90