Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.52 / $38.52 / $38.52	Facility		$38.52	$38.52	$38.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $42.01 / $53.44	Professional		$28.99	$42.01	$53.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.33 / $72.95 / $120.72	Facility		$66.33	$72.95	$120.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $61.69 / $92.53	Professional		$61.69	$61.69	$92.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.72 / $141.94 / $141.94	Facility		$47.72	$141.94	$141.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $198.00 / $277.11	Facility		$39.86	$198.00	$277.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $97.63 / $125.54	Professional		$33.88	$97.63	$125.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $55.56 / $76.28	Facility		$18.16	$55.56	$76.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $66.33 / $79.59	Professional		$37.97	$66.33	$79.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $69.34 / $311.58	Facility		$32.29	$69.34	$311.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $37.18 / $84.05	Professional		$28.13	$37.18	$84.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $60.76 / $85.00	Professional		$49.82	$60.76	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $57.78 / $76.28	Facility		$18.16	$57.78	$76.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $66.33 / $79.59	Professional		$37.97	$66.33	$79.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $102.09 / $168.62	Professional		$66.33	$102.09	$168.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $49.23 / $129.56 / $311.58	Facility		$49.23	$129.56	$311.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $41.06 / $330.32	Professional		$33.88	$41.06	$330.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $66.33 / $66.33	Professional		$66.33	$66.33	$66.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $66.33 / $66.33	Professional		$66.33	$66.33	$66.33
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $33.10 / $66.33	Professional		$22.06	$33.10	$66.33