Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $32.04 / $55.27	Facility		$17.05	$32.04	$55.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $17.05 / $22.37	Professional		$8.61	$17.05	$22.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $29.38 / $48.48	Facility		$29.38	$29.38	$48.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $29.38 / $33.49	Professional		$27.32	$29.38	$33.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $44.07 / $62.87	Facility		$29.38	$44.07	$62.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $35.26 / $68.12	Professional		$30.85	$35.26	$68.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.30 / $92.67 / $123.16	Facility		$79.30	$92.67	$123.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $42.66 / $55.60	Professional		$15.00	$42.66	$55.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.50 / $24.20 / $40.68	Facility		$16.50	$24.20	$40.68
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $16.82 / $29.38	Professional		$16.82	$16.82	$29.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $24.20 / $40.68	Facility		$16.85	$24.20	$40.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $16.61 / $37.22	Professional		$13.66	$16.61	$37.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $58.40 / $85.00	Professional		$10.01	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.50 / $24.20 / $40.68	Facility		$16.50	$24.20	$40.68
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $16.82 / $29.38	Professional		$16.82	$16.82	$29.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $44.07 / $74.00	Professional		$29.38	$44.07	$74.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57.38 / $59.64 / $138.01	Facility		$57.38	$59.64	$138.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $129.11 / $146.31	Professional		$15.00	$129.11	$146.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
United Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $14.65 / $24.42	Professional		$12.46	$14.65	$24.42