Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.01 / $37.01 / $37.01	Facility		$37.01	$37.01	$37.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $40.36 / $51.35	Professional		$35.79	$40.36	$51.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $70.13 / $116.03	Facility		$63.75	$70.13	$116.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $59.29 / $78.41	Professional		$57.37	$59.29	$78.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.86 / $136.43 / $136.43	Facility		$45.86	$136.43	$136.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $171.21 / $265.92	Facility		$38.29	$171.21	$265.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $93.82 / $120.66	Professional		$32.54	$93.82	$120.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $55.14 / $73.31	Facility		$17.46	$55.14	$73.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $63.75 / $76.50	Professional		$36.50	$63.75	$76.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.03 / $66.61 / $283.61	Facility		$31.03	$66.61	$283.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $32.58 / $73.92	Professional		$27.03	$32.58	$73.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $55.00 / $85.00	Professional		$29.57	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $55.52 / $73.31	Facility		$17.46	$55.52	$73.31
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $63.75 / $76.50	Professional		$36.50	$63.75	$76.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $98.09 / $162.60	Professional		$63.75	$98.09	$162.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $124.52 / $283.61	Facility		$38.29	$124.52	$283.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $38.29 / $320.49	Professional		$32.54	$38.29	$320.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
United Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $31.80 / $59.41	Professional		$22.53	$31.80	$59.41