Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $18.10 / $984.00	Professional		$14.51	$18.10	$984.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $14.50 / $84.76	Professional		$11.25	$14.50	$84.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $17.13 / $59.87	Facility		$17.02	$17.13	$59.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $17.13 / $37.11	Professional		$17.13	$17.13	$37.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.83 / $118.99 / $135.22	Facility		$101.83	$118.99	$135.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $40.44 / $60.55	Professional		$23.14	$40.44	$60.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $15.20 / $31.96	Facility		$14.22	$15.20	$31.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $15.20 / $30.59	Facility		$14.22	$15.20	$30.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $92.57 / $178.47	Professional		$41.41	$92.57	$178.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $15.20 / $31.96	Facility		$14.22	$15.20	$31.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $50.36 / $95.20	Professional		$35.97	$50.36	$95.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $78.68 / $78.68	Facility		$78.68	$78.68	$78.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $141.62 / $178.47	Professional		$19.17	$141.62	$178.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $21.72 / $21.72	Professional		$21.72	$21.72	$21.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $21.56 / $27.15	Professional		$13.00	$21.56	$27.15
United Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $69.34 / $127.16	Professional		$39.02	$69.34	$127.16