Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $44.57 / $59.42	Facility		$29.71	$44.57	$59.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $29.71 / $75.00	Professional		$28.00	$29.71	$75.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.96 / $63.88 / $66.25	Facility		$54.96	$63.88	$66.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $36.24	Professional		$26.71	$26.71	$36.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.54 / $47.54 / $62.09	Facility		$47.54	$47.54	$62.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $70.14 / $100.26	Facility		$29.33	$70.14	$100.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $32.11 / $36.79	Professional		$29.44	$32.11	$36.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $28.87 / $29.71	Facility		$23.16	$28.87	$29.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $59.42 / $59.42 / $59.42	Professional		$59.42	$59.42	$59.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $28.87 / $29.71	Facility		$22.22	$28.87	$29.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $30.53 / $59.42	Professional		$25.44	$30.53	$59.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $65.00 / $85.00	Professional		$28.87	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $28.87 / $29.71	Facility		$23.16	$28.87	$29.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $59.42 / $59.42 / $59.42	Professional		$59.42	$59.42	$59.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $48.06 / $97.90	Professional		$25.00	$48.06	$97.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $29.33 / $29.33	Professional		$29.33	$29.33	$29.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $41.71 / $41.71	Professional		$38.57	$41.71	$41.71
United Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $28.75 / $43.89	Professional		$25.44	$28.75	$43.89