Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $24.53 / $33.47	Professional		$18.10	$24.53	$33.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $73.53 / $73.53	Facility		$40.40	$73.53	$73.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $37.57 / $54.52	Professional		$37.56	$37.57	$54.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.84 / $28.47 / $122.34	Facility		$2.84	$28.47	$122.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $103.63	Facility		$28.34	$28.34	$103.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $45.00 / $56.25	Professional		$24.09	$45.00	$56.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $44.27 / $65.75	Facility		$25.00	$44.27	$65.75
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $29.49 / $68.59	Professional		$29.49	$29.49	$68.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $57.17 / $203.16	Facility		$25.00	$57.17	$203.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $26.60 / $53.20	Professional		$20.26	$26.60	$53.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $50.00 / $65.00	Professional		$13.63	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $44.27 / $65.75	Facility		$25.00	$44.27	$65.75
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $29.49 / $68.59	Professional		$29.49	$29.49	$68.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $8.68 / $11.27	Professional		$5.33	$8.68	$11.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $78.42 / $203.16	Facility		$28.34	$78.42	$203.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $28.34 / $37.19	Professional		$24.09	$28.34	$37.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $50.70 / $50.70	Professional		$50.70	$50.70	$50.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $50.70 / $50.70	Professional		$50.70	$50.70	$50.70
United Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $26.60 / $50.70	Professional		$16.88	$26.60	$50.70