Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.31 / $41.31 / $222.70	Facility		$41.31	$41.31	$222.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $45.29 / $158.00	Professional		$21.94	$45.29	$158.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.15 / $78.27 / $129.49	Facility		$71.15	$78.27	$129.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.42 / $66.17 / $87.51	Professional		$65.42	$66.17	$87.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.18 / $152.26 / $152.26	Facility		$51.18	$152.26	$152.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.91 / $191.04 / $296.70	Facility		$44.91	$191.04	$296.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $104.78 / $134.65	Professional		$38.17	$104.78	$134.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $61.55 / $81.81	Facility		$20.46	$61.55	$81.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.42 / $85.38	Professional		$40.74	$69.42	$85.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.42 / $74.36 / $305.51	Facility		$35.42	$74.36	$305.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.06 / $37.70 / $83.25	Professional		$31.06	$37.70	$83.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $55.00 / $85.00	Professional		$14.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $61.97 / $81.81	Facility		$20.46	$61.97	$81.81
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.42 / $85.38	Professional		$40.74	$69.42	$85.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $109.50 / $189.70	Professional		$71.15	$109.50	$189.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44.91 / $138.96 / $305.51	Facility		$44.91	$138.96	$305.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $44.91 / $358.06	Professional		$38.17	$44.91	$358.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $71.15 / $71.15	Professional		$71.15	$71.15	$71.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $71.15 / $71.15	Professional		$71.15	$71.15	$71.15
United Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $35.50 / $68.88	Professional		$24.82	$35.50	$68.88