Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $31.63 / $41.56	Professional		$23.92	$31.63	$41.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $101.92 / $101.92	Facility		$56.00	$101.92	$101.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $52.11 / $75.59	Professional		$52.08	$52.11	$75.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $33.50 / $119.90	Facility		$4.46	$33.50	$119.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.44 / $36.44 / $141.47	Facility		$36.44	$36.44	$141.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $61.13 / $76.41	Professional		$36.44	$61.13	$76.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $48.38 / $66.89	Facility		$19.71	$48.38	$66.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $35.04 / $67.91	Professional		$35.04	$35.04	$67.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $65.08 / $259.69	Facility		$19.71	$65.08	$259.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $33.51 / $67.91	Professional		$25.88	$33.51	$67.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $50.00 / $65.00	Professional		$20.65	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $48.38 / $66.89	Facility		$19.71	$48.38	$66.89
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $35.04 / $67.91	Professional		$35.04	$35.04	$67.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $12.62 / $16.39	Professional		$7.39	$12.62	$16.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.44 / $108.80 / $259.69	Facility		$36.44	$108.80	$259.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $36.44 / $43.43	Professional		$36.44	$36.44	$43.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $56.31 / $56.31	Professional		$56.31	$56.31	$56.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $56.31 / $56.31	Professional		$56.31	$56.31	$56.31
United Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $32.94 / $56.31	Professional		$21.18	$32.94	$56.31