Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $74.25 / $99.00	Facility		$49.50	$74.25	$99.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $49.50 / $75.00	Professional		$36.85	$49.50	$75.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.58 / $106.43 / $110.39	Facility		$91.58	$106.43	$110.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $44.41 / $61.87	Professional		$44.41	$44.41	$61.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $103.46 / $103.46	Facility		$79.20	$103.46	$103.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $89.44 / $127.85	Facility		$48.76	$89.44	$127.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $38.65 / $48.76	Professional		$37.54	$38.65	$48.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $36.85 / $109.07	Facility		$36.85	$36.85	$109.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.01 / $36.85 / $81.27	Facility		$34.01	$36.85	$81.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $52.10 / $99.00	Professional		$43.54	$52.10	$99.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $65.00 / $89.91	Professional		$36.85	$65.00	$89.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $36.85 / $109.07	Facility		$36.85	$36.85	$109.07
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $86.95 / $125.40	Professional		$25.00	$86.95	$125.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Professional		$48.76	$48.76	$48.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $69.50 / $69.50	Professional		$25.22	$69.50	$69.50
United Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $49.20 / $71.41	Professional		$43.54	$49.20	$71.41