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 $5.86 / $27.48 / $73.70	Professional		$5.86	$27.48	$73.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.69 / $39.69 / $41.82	Facility		$39.69	$39.69	$41.82
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 $8.67 / $26.23 / $59.10	Professional		$8.67	$26.23	$59.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $20.77 / $63.67	Facility		$13.33	$20.77	$63.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $21.83 / $85.13	Facility		$13.33	$21.83	$85.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $18.19 / $476.34	Professional		$9.83	$18.19	$476.34
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 $13.33 / $20.77 / $63.67	Facility		$13.33	$20.77	$63.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $43.19 / $60.58	Professional		$22.38	$43.19	$60.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.52 / $35.52 / $85.13	Facility		$35.52	$35.52	$85.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $150.56 / $476.34	Professional		$13.62	$150.56	$476.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $10.87 / $33.90	Professional		$10.87	$10.87	$33.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $35.79 / $96.97	Professional		$10.87	$35.79	$96.97
United Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $15.12 / $46.83	Professional		$9.83	$15.12	$46.83