Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.98 / $26.98 / $53.01	Facility		$26.98	$26.98	$53.01
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $13.49 / $13.49 / $26.51	Facility	52	$13.49	$13.49	$26.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $36.47 / $157.25	Professional		$13.48	$36.47	$157.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $24.25 / $85.70	Professional		$14.22	$24.25	$85.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $17.07 / $19.92	Facility		$13.30	$17.07	$19.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.11 / $31.87	Professional		$13.80	$15.11	$31.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $40.08 / $50.79	Professional		$22.52	$40.08	$50.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $26.44 / $64.75	Facility		$14.14	$26.44	$64.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $25.77 / $88.14	Facility		$13.41	$25.77	$88.14
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $26.62 / $52.73 / $52.73	Facility	52	$26.62	$52.73	$52.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $29.40 / $250.96	Professional		$15.59	$29.40	$250.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $58.40 / $85.00	Professional		$20.27	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $25.77 / $64.75	Facility		$14.14	$25.77	$64.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $39.72 / $268.83	Professional		$25.20	$39.72	$268.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $133.44 / $133.44	Facility		$18.89	$133.44	$133.44
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $15.12 / $26.62 / $52.73	Facility	52	$15.12	$26.62	$52.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $73.55 / $250.96	Professional		$25.82	$73.55	$250.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.22 / $83.38 / $95.01	Professional		$61.22	$83.38	$95.01
United Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $24.99 / $60.68	Professional		$15.16	$24.99	$60.68