Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $51.30 / $51.30	Facility		$51.30	$51.30	$51.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $49.09 / $63.27	Professional		$35.83	$49.09	$63.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.09 / $116.66 / $116.66	Facility		$64.09	$116.66	$116.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $64.06 / $89.41	Professional		$59.58	$64.06	$89.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $45.17 / $188.88	Facility		$8.06	$45.17	$188.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $56.81 / $99.83	Facility		$43.29	$56.81	$99.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $73.88 / $93.82	Professional		$43.29	$73.88	$93.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $92.34 / $135.36	Facility		$43.97	$92.34	$135.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $91.98 / $91.98 / $141.24	Professional		$91.98	$91.98	$141.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $118.66 / $310.56	Facility		$51.30	$118.66	$310.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $63.61 / $104.97	Professional		$38.17	$63.61	$104.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.95	Professional		$50.00	$58.40	$85.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $92.34 / $135.36	Facility		$43.97	$92.34	$135.36
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $91.98 / $91.98 / $141.24	Professional		$91.98	$91.98	$141.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $13.46 / $17.41	Professional		$8.46	$13.46	$17.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57.95 / $139.43 / $310.56	Facility		$57.95	$139.43	$310.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $43.29 / $105.43	Professional		$43.29	$43.29	$105.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $93.82 / $93.82	Professional		$93.82	$93.82	$93.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $93.82 / $93.82	Professional		$93.82	$93.82	$93.82
United Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $57.61 / $102.61	Professional		$36.89	$57.61	$102.61