Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $46.21 / $56.65	Facility		$16.17	$46.21	$56.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $16.17 / $23.85	Professional		$12.17	$16.17	$23.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $27.84 / $45.94	Facility		$27.84	$27.84	$45.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $27.84 / $31.73	Professional		$25.89	$27.84	$31.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $59.58 / $59.58	Facility		$27.84	$59.58	$59.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.79 / $87.40 / $116.16	Facility		$74.79	$87.40	$116.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $40.31 / $52.70	Professional		$14.22	$40.31	$52.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $22.64 / $27.84	Facility		$15.64	$22.64	$27.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $15.94 / $27.84	Professional		$15.94	$15.94	$27.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.78 / $22.94 / $29.11	Facility		$15.78	$22.94	$29.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $15.74 / $35.28	Professional		$12.94	$15.74	$35.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $65.00 / $85.00	Professional		$10.46	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $22.94 / $27.84	Facility		$15.64	$22.94	$27.84
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $15.94 / $27.84	Professional		$15.94	$15.94	$27.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $41.76 / $71.00	Professional		$27.84	$41.76	$71.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.38 / $56.52 / $130.99	Facility		$54.38	$56.52	$130.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $122.36 / $138.63	Professional		$14.22	$122.36	$138.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $27.84 / $27.84	Professional		$27.84	$27.84	$27.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $27.84 / $27.84	Professional		$27.84	$27.84	$27.84
United Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $13.89 / $23.15	Professional		$11.59	$13.89	$23.15