Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $9.46 / $40.34	Facility		$9.46	$9.46	$40.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $10.16 / $59.50	Professional		$9.08	$10.16	$59.50
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $8.74 / $8.74 / $8.74	Professional	CQ	$8.74	$8.74	$8.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $23.36 / $51.11	Professional		$13.85	$23.36	$51.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $11.81 / $15.88	Facility		$11.65	$11.81	$15.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $12.99 / $15.88	Professional		$11.81	$12.99	$15.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $35.79 / $54.92	Facility		$30.64	$35.79	$54.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $29.78 / $106.98	Professional		$11.31	$29.78	$106.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $15.35 / $36.84	Facility		$9.08	$15.35	$36.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.44 / $8.44	Professional		$8.44	$8.44	$8.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $15.12 / $38.40	Facility		$9.08	$15.12	$38.40
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $48.89 / $48.89 / $48.89	Facility	CQ	$48.89	$48.89	$48.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $20.73 / $61.32	Professional		$12.70	$20.73	$61.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $14.74 / $70.00	Professional		$11.67	$14.74	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $15.35 / $36.84	Facility		$9.08	$15.35	$36.84
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.44 / $8.44	Professional		$8.44	$8.44	$8.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $30.10 / $41.80	Professional		$22.17	$30.10	$41.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.40 / $80.00 / $80.00	Facility		$22.40	$80.00	$80.00
Quartz Facility/Professional Facility Modifier CQ Low / Median / High Price $19.04 / $48.89 / $48.89	Facility	CQ	$19.04	$48.89	$48.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $50.40 / $76.98	Professional		$11.31	$50.40	$76.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $32.54 / $32.54	Professional		$16.75	$32.54	$32.54
United Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $20.73 / $50.48	Professional		$12.53	$20.73	$50.48