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 / $550.67	Professional		$19.00	$19.57	$550.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $24.05 / $89.33	Professional		$18.98	$24.05	$89.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $22.41 / $59.87	Facility		$17.02	$22.41	$59.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $22.41 / $37.11	Professional		$22.41	$22.41	$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 $30.09 / $40.44 / $60.55	Professional		$30.09	$40.44	$60.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.64 / $32.29	Facility		$19.00	$19.64	$32.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.64 / $31.96	Facility		$19.00	$19.64	$31.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $94.06 / $178.47	Professional		$42.31	$94.06	$178.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $113.44	Professional		$50.00	$65.00	$113.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.64 / $32.29	Facility		$19.00	$19.64	$32.29
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 $27.00 / $141.62 / $178.47	Professional		$27.00	$141.62	$178.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $42.46 / $42.46	Professional		$42.46	$42.46	$42.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $41.49 / $52.50	Professional		$25.02	$41.49	$52.50
United Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $69.34 / $127.16	Professional		$37.29	$69.34	$127.16