Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $13.60 / $13.60	Facility		$13.60	$13.60	$13.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $14.03 / $15.97	Professional		$11.73	$14.03	$15.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $5.00 / $46.08	Professional		$4.25	$5.00	$46.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $34.24 / $34.24	Facility		$17.39	$34.24	$34.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $17.39 / $22.32	Professional		$17.17	$17.39	$22.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $41.98 / $49.06	Facility		$36.95	$41.98	$49.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $45.98 / $106.98	Professional		$11.95	$45.98	$106.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $15.91 / $32.51	Facility		$11.07	$15.91	$32.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $17.48 / $80.00	Facility		$11.56	$17.48	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.19 / $111.19 / $111.19	Professional		$111.19	$111.19	$111.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $13.53 / $70.00	Professional		$11.49	$13.53	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $15.91 / $32.51	Facility		$11.07	$15.91	$32.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $43.89 / $61.66	Professional		$24.50	$43.89	$61.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $80.00 / $100.00	Facility		$37.95	$80.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $83.10 / $111.19	Professional		$19.80	$83.10	$111.19
United Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $21.72	Professional		$18.44	$18.44	$21.72