Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $16.14 / $67.84	Facility		$14.04	$16.14	$67.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $14.53 / $40.03	Professional		$11.76	$14.53	$40.03
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.45 / $17.45 / $17.45	Professional	CQ	$17.45	$17.45	$17.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $15.08 / $50.40	Professional		$12.23	$15.08	$50.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.79 / $35.54 / $35.54	Facility		$16.79	$35.54	$35.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $16.79 / $21.70	Professional		$16.69	$16.79	$21.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $56.86 / $75.00	Facility		$48.66	$56.86	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $46.30 / $102.90	Professional		$16.13	$46.30	$102.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $17.50 / $38.07	Facility		$11.93	$17.50	$38.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $20.18 / $100.00	Facility		$12.24	$20.18	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $18.14 / $154.06	Professional		$16.30	$18.14	$154.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $58.40 / $85.00	Professional		$26.54	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $17.50 / $38.07	Facility		$11.93	$17.50	$38.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $41.65 / $58.42	Professional		$23.31	$41.65	$58.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $75.00 / $100.00	Facility		$36.72	$75.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $90.60 / $154.06	Professional		$20.02	$90.60	$154.06
Security Health Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $49.35 / $49.35	Facility		$49.35	$49.35	$49.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $50.57 / $50.57	Professional		$21.68	$50.57	$50.57
United Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $18.12 / $48.35	Professional		$16.18	$18.12	$48.35