Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $14.48 / $14.48	Facility		$14.48	$14.48	$14.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $12.84 / $14.48	Professional		$5.76	$12.84	$14.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $16.09 / $19.72	Professional		$16.09	$16.09	$19.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.02 / $37.02 / $37.02	Facility		$37.02	$37.02	$37.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $54.76 / $62.22	Facility		$46.86	$54.76	$62.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $24.84 / $32.74	Professional		$6.70	$24.84	$32.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $14.48 / $17.30	Facility		$12.00	$14.48	$17.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $14.48 / $17.30	Facility		$11.54	$14.48	$17.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $8.63 / $16.11	Professional		$5.80	$8.63	$16.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $14.48 / $17.30	Facility		$11.54	$14.48	$17.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $25.95 / $40.90	Professional		$15.54	$25.95	$40.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $82.27 / $100.00	Facility		$35.11	$82.27	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $76.01 / $124.16	Professional		$6.70	$76.01	$124.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Professional		$17.30	$17.30	$17.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Professional		$17.30	$17.30	$17.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $11.50 / $80.00	Professional		$5.75	$11.50	$80.00