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 $7.80 / $14.65 / $23.90	Professional		$7.80	$14.65	$23.90
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $0.30 / $0.30 / $17.54	Professional	25	$0.30	$0.30	$17.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $3.89 / $5.99 / $10.10	Professional	52	$3.89	$5.99	$10.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $17.80 / $50.64	Professional		$8.77	$17.80	$50.64
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 / $62.32	Professional		$12.19	$24.84	$62.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $16.45 / $24.62	Facility		$8.34	$16.45	$24.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $15.87 / $25.23	Facility		$8.34	$15.87	$25.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $38.90 / $116.07	Professional		$19.32	$38.90	$116.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $58.40 / $85.00	Professional		$28.79	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $16.45 / $24.99	Facility		$8.34	$16.45	$24.99
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 / $75.00	Facility		$12.08	$17.30	$75.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $66.75 / $116.07	Professional		$15.77	$66.75	$116.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $31.86 / $67.06	Professional		$11.16	$31.86	$67.06
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $35.24 / $67.84	Professional		$19.32	$35.24	$67.84