Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $18.09 / $18.09	Facility		$18.09	$18.09	$18.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $21.04 / $33.54	Professional		$18.09	$21.04	$33.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $41.47 / $60.24	Professional		$36.38	$41.47	$60.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.39 / $28.39 / $28.39	Facility		$28.39	$28.39	$28.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $107.00 / $149.75	Facility		$30.06	$107.00	$149.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $40.13 / $50.16	Professional		$21.94	$40.13	$50.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $27.14 / $39.36	Facility		$17.55	$27.14	$39.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $29.93 / $29.93	Professional		$29.93	$29.93	$29.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $39.36 / $187.60	Facility		$18.09	$39.36	$187.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $27.83 / $45.68	Professional		$20.77	$27.83	$45.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $61.71 / $89.77	Professional		$50.00	$61.71	$89.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $27.14 / $39.36	Facility		$17.55	$27.14	$39.36
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $29.93 / $29.93	Professional		$29.93	$29.93	$29.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $83.61 / $108.57	Professional		$45.56	$83.61	$108.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $67.54 / $187.60	Facility		$30.06	$67.54	$187.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $30.06 / $249.13	Professional		$21.94	$30.06	$249.13
United Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $23.45 / $39.40	Professional		$19.20	$23.45	$39.40