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 / $94.00	Professional		$19.00	$19.57	$94.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $28.33 / $108.98	Professional		$21.30	$28.33	$108.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $22.41 / $46.76	Facility		$16.71	$22.41	$46.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $22.41 / $28.95	Professional		$22.41	$22.41	$28.95
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 $25.45 / $40.44 / $60.55	Professional		$25.45	$40.44	$60.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $20.23 / $28.67	Facility		$18.94	$20.23	$28.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $20.14 / $28.67	Facility		$19.00	$20.14	$28.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $97.93 / $185.58	Professional		$43.96	$97.93	$185.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $87.99	Professional		$50.00	$65.00	$87.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $20.23 / $28.67	Facility		$19.00	$20.23	$28.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $56.71 / $103.22	Professional		$38.13	$56.71	$103.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $81.88 / $81.88 / $81.88	Facility		$81.88	$81.88	$81.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $147.38 / $185.58	Professional		$25.45	$147.38	$185.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $51.39 / $51.39	Professional		$51.39	$51.39	$51.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $50.72 / $64.18	Professional		$30.58	$50.72	$64.18
United Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $71.44 / $132.38	Professional		$38.83	$71.44	$132.38