Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.20 / $26.20 / $26.20	Facility		$26.20	$26.20	$26.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $22.16 / $26.20	Professional		$10.45	$22.16	$26.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $29.08 / $35.64	Professional		$29.08	$29.08	$35.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.92 / $66.92 / $66.92	Facility		$66.92	$66.92	$66.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.80 / $97.93 / $111.29	Facility		$83.80	$97.93	$111.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $45.47 / $59.19	Professional		$12.15	$45.47	$59.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $26.20 / $31.27	Facility		$21.20	$26.20	$31.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $26.58 / $32.83	Facility		$21.20	$26.58	$32.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $15.61 / $29.14	Professional		$10.52	$15.61	$29.14
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 $21.20 / $26.20 / $31.27	Facility		$21.20	$26.20	$31.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $46.91 / $73.04	Professional		$27.75	$46.91	$73.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63.48 / $100.00 / $127.86	Facility		$63.48	$100.00	$127.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $137.43 / $167.01	Professional		$12.15	$137.43	$167.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $31.27	Professional		$31.27	$31.27	$31.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $31.27	Professional		$31.27	$31.27	$31.27
United Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $15.61 / $26.01	Professional		$9.88	$15.61	$26.01