Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $8.34 / $16.91	Facility		$8.34	$8.34	$16.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $14.47 / $24.88	Professional		$7.77	$14.47	$24.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $0.30 / $0.30 / $0.30	Professional	25	$0.30	$0.30	$0.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $17.80 / $50.47	Professional		$8.77	$17.80	$50.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10.91 / $12.77	Facility		$8.51	$10.91	$12.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $19.34 / $24.27	Professional		$16.18	$19.34	$24.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $60.02 / $79.78	Facility		$51.36	$60.02	$79.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $24.84 / $70.81	Professional		$12.19	$24.84	$70.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $16.45 / $23.67	Facility		$8.34	$16.45	$23.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $15.81 / $24.09	Facility		$8.34	$15.81	$24.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $38.90 / $118.24	Professional		$19.32	$38.90	$118.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $58.40 / $70.00	Professional		$27.19	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $16.45 / $23.67	Facility		$8.34	$16.45	$23.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $29.70 / $56.26	Professional		$17.55	$29.70	$56.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $17.30 / $45.24	Facility		$12.08	$17.30	$45.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $66.75 / $118.24	Professional		$15.77	$66.75	$118.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $31.86 / $67.06	Professional		$16.39	$31.86	$67.06
United Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $32.90 / $65.89	Professional		$18.41	$32.90	$65.89