Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $9.19 / $44.87	Facility		$9.19	$9.19	$44.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $13.41 / $45.00	Professional		$8.89	$13.41	$45.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $15.41 / $21.39 / $30.10	Professional	CQ	$15.41	$21.39	$30.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $10.43 / $38.93	Professional		$8.01	$10.43	$38.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.17 / $24.43 / $26.08	Facility		$11.17	$24.43	$26.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.17 / $14.37	Professional		$11.05	$11.17	$14.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $35.79 / $75.00	Facility		$30.64	$35.79	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $22.12 / $25.14	Professional		$9.86	$22.12	$25.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.82 / $13.43 / $25.18	Facility		$7.82	$13.43	$25.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.56 / $14.55 / $100.00	Facility		$8.56	$14.55	$100.00
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $22.63 / $48.48 / $48.48	Facility	CQ	$22.63	$48.48	$48.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $16.42 / $83.97	Professional		$11.19	$16.42	$83.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $54.05 / $85.00	Professional		$24.56	$54.05	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.82 / $13.43 / $25.18	Facility		$7.82	$13.43	$25.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $29.41 / $38.94	Professional		$15.54	$29.41	$38.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.28 / $75.00 / $100.00	Facility		$24.28	$75.00	$100.00
Quartz Facility/Professional Facility Modifier CQ Low / Median / High Price $20.64 / $23.80 / $48.48	Facility	CQ	$20.64	$23.80	$48.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $61.97 / $83.97	Professional		$14.17	$61.97	$83.97
Security Health Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $44.42 / $44.42	Facility		$44.42	$44.42	$44.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $32.54 / $43.53	Professional		$20.10	$32.54	$43.53
United Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $15.72 / $72.47	Professional		$10.88	$15.72	$72.47