Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.36 / $12.36 / $42.39	Facility		$12.36	$12.36	$42.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $12.36 / $45.81	Professional		$10.16	$12.36	$45.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $14.40 / $66.36	Professional		$11.04	$14.40	$66.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $10.57 / $10.57	Facility		$10.57	$10.57	$10.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $34.75 / $53.31	Facility		$29.74	$34.75	$53.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $32.84 / $37.31	Professional		$15.01	$32.84	$37.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $12.68 / $23.37	Facility		$10.57	$12.68	$23.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $12.68 / $23.41	Facility		$10.40	$12.68	$23.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $21.19 / $70.50	Professional		$13.45	$21.19	$70.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $65.00 / $85.00	Professional		$40.69	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $12.68 / $23.37	Facility		$10.57	$12.68	$23.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $22.10 / $36.78	Professional		$12.23	$22.10	$36.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $27.20 / $100.00	Facility		$22.94	$27.20	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $57.05 / $70.50	Professional		$15.67	$57.05	$70.50
Security Health Facility/Professional Facility Modifier Low / Median / High Price $49.01 / $49.01 / $49.01	Facility		$49.01	$49.01	$49.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $77.78 / $77.78	Professional		$37.21	$77.78	$77.78
United Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $18.38 / $43.55	Professional		$12.55	$18.38	$43.55