Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $10.02 / $10.02	Facility		$10.02	$10.02	$10.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $11.02 / $14.40	Professional		$8.59	$11.02	$14.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $10.41 / $34.65	Professional		$8.84	$10.41	$34.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $25.01 / $26.71	Facility		$12.83	$25.01	$26.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.83 / $16.34	Professional		$12.57	$12.83	$16.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $30.72 / $35.90	Facility		$27.03	$30.72	$35.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $25.04 / $28.45	Professional		$8.53	$25.04	$28.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $11.74 / $23.63	Facility		$8.07	$11.74	$23.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $12.77 / $80.00	Facility		$8.10	$12.77	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.71 / $85.71 / $85.71	Professional		$85.71	$85.71	$85.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $18.57 / $70.00	Professional		$11.67	$18.57	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $11.74 / $23.63	Facility		$8.07	$11.74	$23.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $32.34 / $45.44	Professional		$18.05	$32.34	$45.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $50.00 / $100.00	Facility		$27.73	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $61.60 / $85.71	Professional		$14.64	$61.60	$85.71