Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $13.08 / $55.22	Facility		$11.38	$13.08	$55.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $13.57 / $44.14	Professional		$10.90	$13.57	$44.14
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $10.74 / $10.74 / $10.74	Professional	CQ	$10.74	$10.74	$10.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $12.42 / $44.46	Professional		$9.91	$12.42	$44.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $28.68 / $30.62	Facility		$13.72	$28.68	$30.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $13.72 / $17.69	Professional		$13.61	$13.72	$17.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.23 / $75.00	Facility		$37.85	$44.23	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $27.35 / $106.98	Professional		$12.84	$27.35	$106.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $16.52 / $30.98	Facility		$9.67	$16.52	$30.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $18.03 / $115.00	Facility		$10.53	$18.03	$115.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $17.94 / $91.95	Professional		$13.64	$17.94	$91.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $54.32 / $85.00	Professional		$24.69	$54.32	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $16.52 / $30.98	Facility		$9.67	$16.52	$30.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $33.83 / $47.60	Professional		$18.98	$33.83	$47.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.88 / $75.00 / $100.00	Facility		$29.88	$75.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $73.09 / $91.95	Professional		$15.66	$73.09	$91.95
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 $23.28 / $40.22 / $43.53	Professional		$23.28	$40.22	$43.53
United Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $15.48 / $38.74	Professional		$12.89	$15.48	$38.74