Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $12.59 / $16.16	Professional		$6.21	$12.59	$16.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $17.14	Professional		$13.99	$13.99	$17.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.19 / $32.19 / $32.19	Facility		$32.19	$32.19	$32.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $47.39 / $53.85	Facility		$40.54	$47.39	$53.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $21.56 / $28.48	Professional		$7.22	$21.56	$28.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $12.59 / $15.04	Facility		$11.30	$12.59	$15.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $13.16 / $20.04	Facility		$10.98	$13.16	$20.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $7.51 / $14.01	Professional		$6.26	$7.51	$14.01
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 $10.98 / $12.59 / $15.04	Facility		$10.98	$12.59	$15.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $23.15 / $43.82	Professional		$15.04	$23.15	$43.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $80.00 / $100.00	Facility		$30.53	$80.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $66.11 / $102.65	Professional		$7.22	$66.11	$102.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
United Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $7.51 / $12.51	Professional		$5.88	$7.51	$12.51