Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $17.20 / $17.82	Facility		$17.20	$17.20	$17.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $26.60 / $57.40	Professional		$17.20	$26.60	$57.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $27.99 / $57.96	Professional		$20.00	$27.99	$57.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $17.07 / $23.06	Facility		$17.07	$17.07	$23.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $17.68 / $24.78	Professional		$17.68	$17.68	$24.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.38 / $78.38 / $95.12	Facility		$78.38	$78.38	$95.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $34.33 / $47.40	Professional		$14.21	$34.33	$47.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $20.58 / $39.06	Facility		$13.26	$20.58	$39.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $20.58 / $39.06	Facility		$13.59	$20.58	$39.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $33.60 / $95.14	Professional		$20.57	$33.60	$95.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $9.97 / $70.00	Professional		$8.97	$9.97	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $20.58 / $39.06	Facility		$14.58	$20.58	$39.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.09 / $43.38 / $59.50	Professional		$21.09	$43.38	$59.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $96.00 / $381.28	Professional		$20.60	$96.00	$381.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $23.03 / $23.44	Professional		$23.03	$23.03	$23.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $65.00 / $67.34	Professional		$30.52	$65.00	$67.34
United Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $28.33 / $90.00	Professional		$18.22	$28.33	$90.00