Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $10.39 / $10.39	Facility		$10.39	$10.39	$10.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.39 / $11.10	Professional		$10.09	$10.39	$11.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $29.66	Professional		$10.09	$10.09	$29.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $16.04 / $16.14	Facility		$13.82	$16.04	$16.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $29.11 / $41.25	Facility		$15.91	$29.11	$41.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $15.47 / $20.80	Professional		$10.09	$15.47	$20.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.60 / $15.90	Facility		$10.09	$10.60	$15.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $10.93 / $19.67	Facility		$10.61	$10.93	$19.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $10.61 / $38.95	Professional		$10.61	$10.61	$38.95
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 $10.09 / $10.60 / $15.90	Facility		$10.09	$10.60	$15.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $13.69 / $78.56	Professional		$10.09	$13.69	$78.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $75.00 / $85.00	Facility		$33.15	$75.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $33.15 / $75.59	Professional		$10.09	$33.15	$75.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $14.17 / $14.17	Professional		$14.17	$14.17	$14.17
United Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $13.12	Professional		$10.09	$10.09	$13.12