Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.04 / $23.04 / $23.04	Facility		$23.04	$23.04	$23.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $24.52 / $30.22	Professional		$23.04	$24.52	$30.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.68 / $43.65 / $72.22	Facility		$39.68	$43.65	$72.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $36.90 / $48.80	Professional		$35.71	$36.90	$48.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.54 / $84.92 / $84.92	Facility		$28.54	$84.92	$84.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $106.33 / $165.15	Facility		$19.37	$106.33	$165.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $57.66 / $75.09	Professional		$16.19	$57.66	$75.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $33.24 / $45.63	Facility		$10.86	$33.24	$45.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $39.68 / $47.62	Professional		$22.72	$39.68	$47.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $41.47 / $178.68	Facility		$19.30	$41.47	$178.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $20.28 / $46.01	Professional		$16.01	$20.28	$46.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.58 / $55.00 / $85.00	Professional		$17.58	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $34.56 / $45.63	Facility		$10.86	$34.56	$45.63
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $39.68 / $47.62	Professional		$22.72	$39.68	$47.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $61.07 / $101.37	Professional		$39.68	$61.07	$101.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $77.50 / $178.68	Facility		$19.37	$77.50	$178.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $19.37 / $174.38	Professional		$16.19	$19.37	$174.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $39.68 / $39.68	Professional		$39.68	$39.68	$39.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $39.68 / $39.68	Professional		$39.68	$39.68	$39.68
United Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $19.79 / $39.68	Professional		$14.02	$19.79	$39.68