Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Facility		$13.25	$13.25	$13.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $13.25 / $14.15	Professional		$12.86	$13.25	$14.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $19.29	Professional		$12.86	$12.86	$19.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $20.58 / $31.64	Facility		$17.61	$20.58	$31.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $33.25 / $47.13	Facility		$18.18	$33.25	$47.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $15.75 / $36.65	Professional		$12.86	$15.75	$36.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $13.38 / $19.88	Facility		$12.86	$13.38	$19.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.03 / $14.91 / $22.81	Facility		$10.03	$14.91	$22.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $14.48 / $23.17	Professional		$14.48	$14.48	$23.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.21 / $65.00 / $85.00	Professional		$30.21	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $13.38 / $19.88	Facility		$12.86	$13.38	$19.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $19.20 / $47.00	Professional		$12.86	$19.20	$47.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $85.00 / $90.00	Facility		$65.00	$85.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $21.44 / $66.88	Professional		$12.86	$21.44	$66.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $18.05 / $18.98	Professional		$9.61	$18.05	$18.98
United Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $16.72	Professional		$12.86	$12.86	$16.72