Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Facility		$16.84	$16.84	$16.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $16.84 / $18.69	Professional		$8.23	$16.84	$18.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $22.92	Professional		$18.70	$18.70	$22.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.04 / $43.04 / $43.04	Facility		$43.04	$43.04	$43.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.07 / $63.18 / $71.80	Facility		$54.07	$63.18	$71.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $29.06 / $38.06	Professional		$9.57	$29.06	$38.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $16.84 / $20.11	Facility		$14.99	$16.84	$20.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $17.60 / $22.08	Facility		$14.69	$17.60	$22.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $10.03 / $18.73	Professional		$8.28	$10.03	$18.73
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 $14.69 / $16.84 / $20.11	Facility		$14.69	$16.84	$20.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $30.98 / $57.45	Professional		$20.11	$30.98	$57.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.82 / $100.00 / $101.04	Facility		$40.82	$100.00	$101.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $88.38 / $131.57	Professional		$9.57	$88.38	$131.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $20.11 / $20.11	Professional		$20.11	$20.11	$20.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $20.11 / $20.11	Professional		$20.11	$20.11	$20.11
United Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $9.94 / $18.64	Professional		$7.79	$9.94	$18.64