Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $12.24 / $12.24	Facility		$12.24	$12.24	$12.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $12.24 / $13.07	Professional		$11.88	$12.24	$13.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $18.41	Professional		$11.88	$11.88	$18.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $19.01 / $29.22	Facility		$16.27	$19.01	$29.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $30.01 / $42.53	Facility		$16.39	$30.01	$42.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $15.28 / $40.53	Professional		$11.88	$15.28	$40.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $11.88 / $18.23	Facility		$10.60	$11.88	$18.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $12.05 / $18.44	Facility		$10.60	$12.05	$18.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $11.70 / $24.57	Professional		$11.70	$11.70	$24.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $11.88 / $18.23	Facility		$10.60	$11.88	$18.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $13.28 / $31.55	Professional		$11.88	$13.28	$31.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $85.00 / $100.00	Facility		$65.00	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $17.09 / $1,591.16	Professional		$11.88	$17.09	$1,591.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $16.68 / $18.22	Professional		$12.83	$16.68	$18.22
United Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $16.27	Professional		$11.88	$11.88	$16.27