Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.63 / $16.63 / $157.33	Facility		$16.63	$16.63	$157.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $18.22 / $59.50	Professional		$8.82	$18.22	$59.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.64 / $31.50 / $52.12	Facility		$28.64	$31.50	$52.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $26.64 / $35.22	Professional		$25.77	$26.64	$35.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $61.29 / $61.29	Facility		$20.60	$61.29	$61.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.00 / $89.51 / $137.31	Facility		$68.00	$89.51	$137.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $47.70 / $54.20	Professional		$12.25	$47.70	$54.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.23 / $24.78 / $32.94	Facility		$8.23	$24.78	$32.94
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $27.87 / $34.36	Professional		$16.39	$27.87	$34.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.24 / $29.93 / $122.76	Facility		$14.24	$29.93	$122.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $15.16 / $33.46	Professional		$12.74	$15.16	$33.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $55.00 / $85.00	Professional		$12.51	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.23 / $24.95 / $32.94	Facility		$8.23	$24.95	$32.94
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $27.87 / $34.36	Professional		$16.39	$27.87	$34.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $44.07 / $76.28	Professional		$28.64	$44.07	$76.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55.94 / $55.94 / $122.76	Facility		$55.94	$55.94	$122.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $35.72 / $150.47	Professional		$12.25	$35.72	$150.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $28.64 / $28.64	Professional		$28.64	$28.64	$28.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $28.64 / $28.64	Professional		$28.64	$28.64	$28.64
United Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $14.29 / $27.38	Professional		$10.62	$14.29	$27.38