Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $20.13 / $20.13	Facility		$20.13	$20.13	$20.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $19.44 / $24.61	Professional		$9.46	$19.44	$24.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $22.34 / $27.38	Professional		$22.34	$22.34	$27.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.40 / $51.40 / $51.40	Facility		$51.40	$51.40	$51.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $75.81 / $86.16	Facility		$64.88	$75.81	$86.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $34.69 / $45.46	Professional		$11.00	$34.69	$45.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $20.42 / $25.22	Facility		$18.54	$20.42	$25.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $21.14 / $36.71	Facility		$17.55	$21.14	$36.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $11.99 / $22.39	Professional		$9.52	$11.99	$22.39
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 $17.67 / $20.42 / $25.22	Facility		$17.67	$20.42	$25.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $36.38 / $66.22	Professional		$24.02	$36.38	$66.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $100.00 / $124.63	Facility		$48.76	$100.00	$124.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $105.57 / $151.22	Professional		$11.00	$105.57	$151.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $24.02 / $24.02	Professional		$24.02	$24.02	$24.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $24.02 / $24.02	Professional		$24.02	$24.02	$24.02
United Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $11.99 / $19.09	Professional		$8.94	$11.99	$19.09