Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.51 / $13.51 / $14.43	Facility		$13.51	$13.51	$14.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $15.76 / $39.47	Professional		$13.06	$15.76	$39.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $28.14 / $50.06	Professional		$15.67	$28.14	$50.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $13.34 / $18.01	Facility		$13.34	$13.34	$18.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $19.73	Professional		$14.23	$14.23	$19.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.98 / $62.98 / $76.43	Facility		$62.98	$62.98	$76.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $25.41 / $35.90	Professional		$10.78	$25.41	$35.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $16.16 / $22.32	Facility		$12.24	$16.16	$22.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $14.82 / $22.32	Facility		$11.45	$14.82	$22.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $21.18 / $89.79	Professional		$14.90	$21.18	$89.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $58.40 / $85.00	Professional		$49.30	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $15.84 / $22.32	Facility		$12.24	$15.84	$22.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $33.92 / $47.11	Professional		$17.02	$33.92	$47.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $66.69 / $98.45	Professional		$15.40	$66.69	$98.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $51.07 / $54.59	Professional		$31.27	$51.07	$54.59
United Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.29 / $39.15	Professional		$14.40	$19.29	$39.15