Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.51 / $20.51 / $20.51	Facility		$20.51	$20.51	$20.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $20.64 / $29.59	Professional		$19.84	$20.64	$29.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.32 / $38.85 / $64.28	Facility		$35.32	$38.85	$64.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $32.85 / $43.44	Professional		$31.78	$32.85	$43.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.41 / $75.58 / $75.58	Facility		$25.41	$75.58	$75.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $94.62 / $146.94	Facility		$21.22	$94.62	$146.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $51.91 / $66.84	Professional		$18.04	$51.91	$66.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $29.59 / $40.61	Facility		$9.68	$29.59	$40.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $35.32 / $42.38	Professional		$20.23	$35.32	$42.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $36.92 / $157.81	Facility		$17.20	$36.92	$157.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $18.05 / $40.97	Professional		$14.26	$18.05	$40.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $55.00 / $85.00	Professional		$14.80	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $30.77 / $40.61	Facility		$9.68	$30.77	$40.61
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $35.32 / $42.38	Professional		$20.23	$35.32	$42.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.32 / $54.38 / $90.33	Professional		$35.32	$54.38	$90.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $68.98 / $157.81	Facility		$21.22	$68.98	$157.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $21.22 / $175.89	Professional		$18.04	$21.22	$175.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.32 / $35.32 / $35.32	Professional		$35.32	$35.32	$35.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.32 / $35.32 / $35.32	Professional		$35.32	$35.32	$35.32
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.62 / $33.78	Professional		$11.75	$17.62	$33.78