Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $16.61 / $16.61	Facility		$16.61	$16.61	$16.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $16.02 / $18.30	Professional		$7.94	$16.02	$18.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.43 / $22.59	Professional		$18.16	$18.43	$22.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.41 / $42.41 / $42.41	Facility		$42.41	$42.41	$42.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.17 / $62.13 / $70.59	Facility		$53.17	$62.13	$70.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $28.59 / $37.53	Professional		$9.23	$28.59	$37.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $16.61 / $19.82	Facility		$14.58	$16.61	$19.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.49 / $17.36 / $20.81	Facility		$14.49	$17.36	$20.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $9.89 / $18.47	Professional		$8.00	$9.89	$18.47
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 $14.49 / $16.61 / $19.82	Facility		$14.49	$16.61	$19.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $30.50 / $55.51	Professional		$19.82	$30.50	$55.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $100.00 / $101.88	Facility		$40.22	$100.00	$101.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $87.12 / $147.47	Professional		$9.23	$87.12	$147.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $19.82 / $19.82	Professional		$19.82	$19.82	$19.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $19.82 / $19.82	Professional		$19.82	$19.82	$19.82
United Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $11.89 / $79.98	Professional		$7.51	$11.89	$79.98