Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.32 / $32.32 / $32.32	Facility		$32.32	$32.32	$32.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $28.80 / $37.83	Professional		$20.14	$28.80	$37.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.20 / $84.08 / $84.08	Facility		$46.20	$84.08	$84.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $42.97 / $62.34	Professional		$42.95	$42.97	$62.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $32.56 / $121.59	Facility		$3.25	$32.56	$121.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $29.99 / $121.65	Facility		$29.99	$29.99	$121.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $52.88 / $66.09	Professional		$29.99	$52.88	$66.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $45.46 / $65.34	Facility		$28.00	$45.46	$65.34
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $32.54 / $68.18	Professional		$32.54	$32.54	$68.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $68.18 / $215.23	Facility		$28.00	$68.18	$215.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $27.86 / $59.36	Professional		$20.43	$27.86	$59.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $50.00 / $65.00	Professional		$24.90	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $45.46 / $65.34	Facility		$28.00	$45.46	$65.34
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $32.54 / $68.18	Professional		$32.54	$32.54	$68.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $10.25 / $13.31	Professional		$6.10	$10.25	$13.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $89.68 / $215.23	Facility		$37.74	$89.68	$215.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $29.99 / $39.36	Professional		$29.99	$29.99	$39.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $53.22 / $53.22	Professional		$53.22	$53.22	$53.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $53.22 / $53.22	Professional		$53.22	$53.22	$53.22
United Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $20.36 / $32.24	Facility		$2.52	$20.36	$32.24
United Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $27.09 / $58.02	Professional		$16.71	$27.09	$58.02