Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $14.50 / $14.50	Facility		$14.50	$14.50	$14.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $16.87 / $21.43	Professional		$14.50	$16.87	$21.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $23.85 / $48.31	Professional		$23.85	$23.85	$48.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.76 / $22.76 / $22.76	Facility		$22.76	$22.76	$22.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $86.00 / $120.36	Facility		$28.58	$86.00	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $32.25 / $40.31	Professional		$20.86	$32.25	$40.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $21.75 / $31.57	Facility		$14.10	$21.75	$31.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $24.05 / $24.05	Professional		$24.05	$24.05	$24.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $31.57 / $150.43	Facility		$14.50	$31.57	$150.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $22.42 / $36.63	Professional		$16.66	$22.42	$36.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.08 / $55.00 / $85.00	Professional		$26.08	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $21.75 / $31.57	Facility		$14.10	$21.75	$31.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $24.05 / $24.05	Professional		$24.05	$24.05	$24.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $67.05 / $87.06	Professional		$36.53	$67.05	$87.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $54.16 / $150.43	Facility		$28.58	$54.16	$150.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $28.58 / $199.64	Professional		$20.86	$28.58	$199.64
United Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $21.30 / $32.65	Professional		$15.34	$21.30	$32.65