Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $19.04 / $27.82	Professional		$15.60	$19.04	$27.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $41.27 / $93.80	Professional		$10.00	$41.27	$93.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $24.31 / $59.59	Facility		$20.26	$24.31	$59.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $20.26 / $26.36	Professional		$20.26	$20.26	$26.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.29 / $74.19 / $105.31	Facility		$65.29	$74.19	$105.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $22.66 / $62.00	Professional		$10.65	$22.66	$62.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $24.31 / $70.91	Facility		$18.23	$24.31	$70.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $24.31 / $87.63	Facility		$18.23	$24.31	$87.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $16.71 / $142.29	Professional		$11.89	$16.71	$142.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $58.40 / $85.00	Professional		$10.13	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $24.31 / $70.91	Facility		$18.23	$24.31	$70.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $48.59 / $71.54	Professional		$36.61	$48.59	$71.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $47.24 / $47.24 / $96.72	Facility		$47.24	$47.24	$96.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $101.30 / $142.29	Professional		$10.65	$101.30	$142.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $23.60 / $43.14	Professional		$23.60	$23.60	$43.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $110.62 / $110.62	Professional		$38.04	$110.62	$110.62
United Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $15.79 / $56.12	Professional		$11.89	$15.79	$56.12