Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Facility		$19.00	$19.00	$19.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.57 / $245.00	Professional		$19.00	$19.57	$245.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $26.26 / $151.50	Professional		$21.00	$26.26	$151.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $18.68 / $88.38	Facility		$18.57	$18.68	$88.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $18.68 / $54.54	Professional		$18.68	$18.68	$54.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.16 / $243.25 / $276.42	Facility		$208.16	$243.25	$276.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $81.37 / $122.11	Professional		$32.40	$81.37	$122.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $20.39 / $47.19	Facility		$19.00	$20.39	$47.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $20.39 / $45.15	Facility		$19.00	$20.39	$45.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $134.75 / $259.38	Professional		$60.86	$134.75	$259.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $63.09 / $85.00	Professional		$50.00	$63.09	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $20.39 / $47.19	Facility		$19.00	$20.39	$47.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.88 / $88.20 / $139.94	Professional		$52.88	$88.20	$139.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114.48 / $114.48 / $114.48	Facility		$114.48	$114.48	$114.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $206.06 / $259.38	Professional		$29.00	$206.06	$259.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $32.65 / $32.65	Professional		$32.65	$32.65	$32.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $32.65 / $55.76	Professional		$28.27	$32.65	$55.76
United Facility/Professional Professional Modifier Low / Median / High Price $56.72 / $102.18 / $185.10	Professional		$56.72	$102.18	$185.10