Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Facility		$18.30	$18.30	$18.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $19.97 / $25.41	Professional		$17.57	$19.97	$25.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $34.68 / $57.38	Facility		$31.53	$34.68	$57.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $29.32 / $38.78	Professional		$28.37	$29.32	$38.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $67.47 / $67.47	Facility		$22.68	$67.47	$67.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $84.71 / $131.56	Facility		$18.95	$84.71	$131.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $46.20 / $59.68	Professional		$16.11	$46.20	$59.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $26.22 / $36.26	Facility		$8.64	$26.22	$36.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $31.29 / $37.84	Professional		$17.94	$31.29	$37.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $33.11 / $146.94	Facility		$15.35	$33.11	$146.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $16.12 / $36.58	Professional		$13.37	$16.12	$36.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.83 / $55.00 / $85.00	Professional		$17.83	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $27.47 / $36.26	Facility		$8.64	$27.47	$36.26
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $31.29 / $37.84	Professional		$17.94	$31.29	$37.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $48.54 / $80.30	Professional		$31.53	$48.54	$80.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $61.58 / $146.94	Facility		$18.95	$61.58	$146.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $18.95 / $155.82	Professional		$16.11	$18.95	$155.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $31.53 / $31.53	Professional		$31.53	$31.53	$31.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $31.53 / $31.53	Professional		$31.53	$31.53	$31.53
United Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $15.73 / $30.15	Professional		$10.49	$15.73	$30.15