Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $22.59 / $28.84	Professional		$18.50	$22.59	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $38.69 / $102.93	Professional		$9.61	$38.69	$102.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.62 / $63.62 / $67.04	Facility		$63.62	$63.62	$67.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.87 / $87.35 / $123.99	Facility		$76.87	$87.35	$123.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $34.84 / $79.95	Professional		$11.45	$34.84	$79.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $28.84 / $84.11	Facility		$18.50	$28.84	$84.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $28.84 / $112.50	Facility		$18.50	$28.84	$112.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $24.03 / $120.15	Professional		$14.52	$24.03	$120.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $65.00 / $85.00	Professional		$12.02	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $28.84 / $84.11	Facility		$18.50	$28.84	$84.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $57.08 / $83.01	Professional		$22.38	$57.08	$83.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.06 / $48.06 / $114.14	Facility		$48.06	$48.06	$114.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $120.15 / $141.15	Professional		$13.62	$120.15	$141.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $10.87 / $51.17	Professional		$10.87	$10.87	$51.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $42.11 / $131.19	Professional		$10.87	$42.11	$131.19
United Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $24.03 / $69.20	Professional		$14.52	$24.03	$69.20