Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.27 / $26.27 / $26.27	Facility		$26.27	$26.27	$26.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $28.13 / $35.27	Professional		$25.41	$28.13	$35.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $49.79 / $82.37	Facility		$45.26	$49.79	$82.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $42.09 / $55.66	Professional		$40.72	$42.09	$55.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $96.86 / $96.86	Facility		$30.75	$96.86	$96.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $135.00 / $188.94	Facility		$29.14	$135.00	$188.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $66.68 / $85.76	Professional		$21.27	$66.68	$85.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $37.89 / $52.05	Facility		$11.45	$37.89	$52.05
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $45.26 / $54.31	Professional		$22.62	$45.26	$54.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $47.29 / $211.82	Facility		$19.82	$47.29	$211.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $27.16 / $50.40	Professional		$20.12	$27.16	$50.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $55.00 / $85.00	Professional		$22.68	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $39.40 / $52.05	Facility		$11.45	$39.40	$52.05
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $45.26 / $54.31	Professional		$22.62	$45.26	$54.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $67.89 / $122.45	Professional		$45.26	$67.89	$122.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $88.50 / $211.82	Facility		$29.14	$88.50	$211.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $29.14 / $225.39	Professional		$21.27	$29.14	$225.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $45.26 / $45.26	Professional		$45.26	$45.26	$45.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $45.26 / $45.26	Professional		$45.26	$45.26	$45.26
United Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $29.23 / $33.53	Facility		$22.70	$29.23	$33.53
United Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $26.10 / $42.16	Professional		$17.46	$26.10	$42.16