Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.34 / $15.34 / $150.44	Facility		$15.34	$15.34	$150.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $15.34 / $61.70	Professional		$14.40	$15.34	$61.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $18.79 / $31.00	Facility		$18.79	$18.79	$31.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $17.47 / $20.66	Professional		$17.47	$17.47	$20.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $40.21 / $40.21	Facility		$16.91	$40.21	$40.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $57.92 / $88.85	Facility		$49.56	$57.92	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $26.72 / $35.35	Professional		$17.17	$26.72	$35.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $18.79 / $19.73	Facility		$14.40	$18.79	$19.73
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $11.49 / $11.49	Professional		$11.49	$11.49	$11.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.07 / $18.79 / $91.07	Facility		$15.07	$18.79	$91.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $29.19 / $74.31	Professional		$10.37	$29.19	$74.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $65.00 / $90.00	Professional		$11.73	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $18.79 / $19.73	Facility		$14.40	$18.79	$19.73
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $11.49 / $11.49	Professional		$11.49	$11.49	$11.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $33.00 / $55.20	Professional		$18.79	$33.00	$55.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $38.14 / $91.07	Facility		$36.47	$38.14	$91.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $17.17 / $17.17	Professional		$17.17	$17.17	$17.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $24.43 / $24.43	Professional		$24.43	$24.43	$24.43
Security Health Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $25.21 / $25.21	Facility		$25.21	$25.21	$25.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $24.43 / $24.43	Professional		$24.43	$24.43	$24.43
United Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $24.86 / $68.09	Professional		$7.18	$24.86	$68.09