Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $65.91 / $65.91	Facility		$65.91	$65.91	$65.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $48.50 / $80.73	Professional		$43.03	$48.50	$80.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.60 / $155.79 / $155.79	Facility		$85.60	$155.79	$155.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $85.58 / $116.35	Professional		$79.59	$85.58	$116.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.46 / $60.33 / $236.47	Facility		$11.46	$60.33	$236.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $75.92 / $119.96	Facility		$57.45	$75.92	$119.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $100.50 / $125.63	Professional		$57.45	$100.50	$125.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $105.69 / $162.62	Facility		$54.00	$105.69	$162.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $83.51 / $169.69	Professional		$83.51	$83.51	$169.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $141.41 / $411.79	Facility		$65.91	$141.41	$411.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $76.29 / $118.36	Professional		$49.01	$76.29	$118.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.94 / $98.24	Professional		$50.00	$58.94	$98.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $105.69 / $162.62	Facility		$54.00	$105.69	$162.62
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $83.51 / $169.69	Professional		$83.51	$83.51	$169.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $18.14 / $23.56	Professional		$11.30	$18.14	$23.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $166.16 / $411.79	Facility		$65.00	$166.16	$411.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $57.45 / $107.15	Professional		$57.45	$57.45	$107.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $116.69 / $116.69 / $116.69	Professional		$116.69	$116.69	$116.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $116.69 / $116.69 / $116.69	Professional		$116.69	$116.69	$116.69
United Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $70.01 / $117.43	Professional		$43.33	$70.01	$117.43