Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.57 / $20.57 / $20.57	Facility		$20.57	$20.57	$20.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $20.57 / $21.97	Professional		$19.97	$20.57	$21.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $31.95	Professional		$19.97	$19.97	$31.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.34 / $31.75 / $31.95	Facility		$27.34	$31.75	$31.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.45 / $48.39 / $68.59	Facility		$26.45	$48.39	$68.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $27.38 / $32.88	Professional		$19.97	$27.38	$32.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $20.77 / $31.47	Facility		$19.97	$20.77	$31.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.85 / $21.47 / $38.65	Facility		$20.85	$21.47	$38.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $20.85 / $43.79	Professional		$20.85	$20.85	$43.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $20.77 / $31.47	Facility		$19.97	$20.77	$31.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $23.68 / $50.69	Professional		$19.97	$23.68	$50.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.63 / $75.00 / $90.79	Facility		$22.63	$75.00	$90.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $37.83 / $90.79	Professional		$19.97	$37.83	$90.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $28.04 / $28.04	Professional		$28.04	$28.04	$28.04
United Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $27.34	Professional		$19.97	$19.97	$27.34