Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $19.55 / $26.19	Professional		$14.77	$19.55	$26.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $54.78 / $54.78	Facility		$30.10	$54.78	$54.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $30.05 / $41.92	Professional		$27.95	$30.05	$41.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.56 / $21.19 / $81.56	Facility		$3.56	$21.19	$81.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $26.03 / $45.71	Facility		$19.82	$26.03	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $33.38 / $41.72	Professional		$19.82	$33.38	$41.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $38.43 / $59.13	Facility		$16.34	$38.43	$59.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $61.70	Professional		$34.15	$34.15	$61.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $61.70 / $142.13	Facility		$16.34	$61.70	$142.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $27.75 / $44.57	Professional		$17.43	$27.75	$44.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $50.00 / $65.00	Professional		$21.99	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $38.43 / $59.13	Facility		$16.34	$38.43	$59.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $61.70	Professional		$34.15	$34.15	$61.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $6.31 / $8.19	Professional		$3.97	$6.31	$8.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.03 / $58.36 / $142.13	Facility		$26.03	$58.36	$142.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $19.82 / $26.55	Professional		$19.82	$19.82	$26.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $41.74 / $41.74	Professional		$41.74	$41.74	$41.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $41.74 / $41.74	Professional		$41.74	$41.74	$41.74
United Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $25.04 / $42.70	Professional		$17.14	$25.04	$42.70