Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $11.09 / $11.09	Facility		$11.09	$11.09	$11.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $12.90 / $16.38	Professional		$11.09	$12.90	$16.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $54.93 / $54.93	Professional		$22.31	$54.93	$54.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.41 / $17.41 / $17.41	Facility		$17.41	$17.41	$17.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $66.00 / $92.37	Facility		$28.09	$66.00	$92.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $28.09 / $30.94	Professional		$20.51	$28.09	$30.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $16.64 / $24.14	Facility		$10.81	$16.64	$24.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $24.14 / $115.05	Facility		$11.09	$24.14	$115.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $17.23 / $28.02	Professional		$12.74	$17.23	$28.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $55.00 / $85.00	Professional		$27.23	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $16.64 / $24.14	Facility		$10.81	$16.64	$24.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $51.27 / $66.56	Professional		$27.94	$51.27	$66.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $41.42 / $115.05	Facility		$28.09	$41.42	$115.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $28.09 / $155.47	Professional		$20.51	$28.09	$155.47
United Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $16.29 / $24.98	Professional		$11.06	$16.29	$24.98