Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.33 / $53.73 / $190.69	Facility		$11.33	$53.73	$190.69
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $222.00 / $222.00 / $528.02	Facility	CQ	$222.00	$222.00	$528.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $13.03 / $54.00	Professional		$8.48	$13.03	$54.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $68.81 / $68.81 / $68.81	Professional	CO	$68.81	$68.81	$68.81
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $9.16 / $35.58 / $41.15	Professional	CQ	$9.16	$35.58	$41.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $11.61 / $38.78	Professional		$9.86	$11.61	$38.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.32 / $26.54 / $28.34	Facility		$13.32	$26.54	$28.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $13.32 / $17.17	Professional		$13.21	$13.32	$17.17
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 $12.24 / $26.60 / $106.98	Professional		$12.24	$26.60	$106.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $15.30 / $29.78	Facility		$9.63	$15.30	$29.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.33 / $29.78 / $115.00	Facility		$11.33	$29.78	$115.00
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $26.96 / $55.33 / $55.33	Facility	CQ	$26.96	$55.33	$55.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $14.20 / $89.91	Professional		$12.07	$14.20	$89.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $50.00 / $85.00	Professional		$16.48	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $14.74 / $28.81	Facility		$9.63	$14.74	$28.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $33.17 / $46.52	Professional		$18.55	$33.17	$46.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $75.00 / $100.00	Facility		$29.08	$75.00	$100.00
Quartz Facility/Professional Facility Modifier CQ Low / Median / High Price $24.72 / $28.63 / $55.33	Facility	CQ	$24.72	$28.63	$55.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $71.00 / $89.91	Professional		$14.82	$71.00	$89.91
Security Health Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $39.47	Facility		$39.47	$39.47	$39.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $39.14 / $39.14	Professional		$16.76	$39.14	$39.14
United Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $14.20 / $42.18	Professional		$12.23	$14.20	$42.18