Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $19.62 / $19.62	Facility		$19.62	$19.62	$19.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $19.62 / $20.68	Professional		$9.67	$19.62	$20.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $21.78 / $26.69	Professional		$21.78	$21.78	$26.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.08 / $73.70 / $83.76	Facility		$63.08	$73.70	$83.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $33.75 / $44.34	Professional		$11.24	$33.75	$44.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $19.91 / $23.42	Facility		$19.30	$19.91	$23.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.11 / $22.30 / $24.81	Facility		$17.11	$22.30	$24.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $11.69 / $21.83	Professional		$9.74	$11.69	$21.83
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 $17.11 / $19.62 / $23.42	Facility		$17.11	$19.62	$23.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $36.04 / $68.17	Professional		$23.42	$36.04	$68.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $47.54 / $100.00 / $127.25	Facility		$47.54	$100.00	$127.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $102.96 / $210.56	Professional		$11.24	$102.96	$210.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $23.42 / $23.42	Professional		$23.42	$23.42	$23.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $23.42 / $23.42	Professional		$23.42	$23.42	$23.42
United Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $11.69 / $18.66	Professional		$9.15	$11.69	$18.66