Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $18.50 / $52.89	Facility		$18.50	$18.50	$52.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $18.50 / $27.29	Professional		$13.92	$18.50	$27.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.86 / $31.86 / $52.57	Facility		$31.86	$31.86	$52.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $31.86 / $36.32	Professional		$29.63	$31.86	$36.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.86 / $68.18 / $68.18	Facility		$31.86	$68.18	$68.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.61 / $100.04 / $132.96	Facility		$85.61	$100.04	$132.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $45.94 / $60.29	Professional		$16.27	$45.94	$60.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $25.90 / $31.86	Facility		$17.89	$25.90	$31.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $31.86	Professional		$18.23	$18.23	$31.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $26.25 / $33.29	Facility		$18.05	$26.25	$33.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $18.02 / $40.36	Professional		$14.81	$18.02	$40.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $65.00 / $85.00	Professional		$17.11	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $26.25 / $31.86	Facility		$17.89	$26.25	$31.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $31.86	Professional		$18.23	$18.23	$31.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $47.79 / $81.00	Professional		$31.86	$47.79	$81.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $62.22 / $64.68 / $149.90	Facility		$62.22	$64.68	$149.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $140.00 / $158.66	Professional		$16.27	$140.00	$158.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $31.86 / $31.86	Professional		$31.86	$31.86	$31.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $31.86 / $31.86	Professional		$31.86	$31.86	$31.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $15.89 / $26.49	Professional		$12.91	$15.89	$26.49