Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.36 / $26.36 / $26.36	Facility		$26.36	$26.36	$26.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $22.60 / $30.07	Professional		$15.94	$22.60	$30.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $43.53 / $72.02	Facility		$39.57	$43.53	$72.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $36.79 / $46.69	Professional		$19.64	$36.79	$46.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $84.68 / $84.68	Facility		$28.47	$84.68	$84.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $120.83 / $165.15	Facility		$25.17	$120.83	$165.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $57.19 / $74.89	Professional		$21.39	$57.19	$74.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.79 / $34.21 / $58.37	Facility		$20.79	$34.21	$58.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $47.48 / $47.83 / $47.83	Professional		$47.48	$47.83	$47.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.69 / $39.57 / $185.89	Facility		$23.69	$39.57	$185.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $25.26 / $209.94	Professional		$16.78	$25.26	$209.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $50.00 / $65.00	Professional		$0.41	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.79 / $36.34 / $58.37	Facility		$20.79	$36.34	$58.37
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $47.48 / $47.83 / $47.83	Professional		$47.48	$47.83	$47.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $10.03 / $59.36	Professional		$6.28	$10.03	$59.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $77.28 / $185.89	Facility		$64.23	$77.28	$185.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $143.37 / $325.10	Professional		$21.39	$143.37	$325.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $39.57 / $39.57	Professional		$39.57	$39.57	$39.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $39.57 / $39.57	Professional		$39.57	$39.57	$39.57
United Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $19.73 / $36.65	Professional		$13.16	$19.73	$36.65