Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.05 / $214.89	Facility		$14.05	$14.05	$214.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $18.64 / $62.40	Professional		$14.05	$18.64	$62.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $13.43 / $26.86	Professional		$13.43	$13.43	$26.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $43.99 / $43.99	Facility		$43.99	$43.99	$43.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $30.38 / $43.42	Facility		$14.75	$30.38	$43.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $42.30 / $48.06	Professional		$13.13	$42.30	$48.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $15.65 / $48.48	Facility		$14.05	$15.65	$48.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $15.65 / $48.48	Facility		$14.05	$15.65	$48.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $15.02 / $21.26	Professional		$13.29	$15.02	$21.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $55.00 / $85.00	Professional		$15.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $15.65 / $48.48	Facility		$14.05	$15.65	$48.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.75 / $53.86 / $74.80	Professional		$34.75	$53.86	$74.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $14.75 / $14.75	Professional		$14.75	$14.75	$14.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $39.15 / $39.15	Professional		$37.27	$39.15	$39.15
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $15.02 / $21.26	Professional		$13.29	$15.02	$21.26