Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.01 / $28.01 / $28.01	Facility		$28.01	$28.01	$28.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $25.16 / $30.05	Professional		$16.01	$25.16	$30.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.70 / $72.25 / $72.25	Facility		$39.70	$72.25	$72.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $36.92 / $53.54	Professional		$36.88	$36.92	$53.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $27.96 / $107.62	Facility		$2.79	$27.96	$107.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $25.90 / $105.43	Facility		$25.90	$25.90	$105.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $45.75 / $57.19	Professional		$25.90	$45.75	$57.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $40.22 / $57.83	Facility		$13.77	$40.22	$57.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $24.48 / $60.35	Professional		$24.48	$24.48	$60.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $50.42 / $185.84	Facility		$13.77	$50.42	$185.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $23.79 / $49.72	Professional		$18.07	$23.79	$49.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $50.00 / $65.00	Professional		$14.36	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $40.22 / $57.83	Facility		$13.77	$40.22	$57.83
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $24.48 / $60.35	Professional		$24.48	$24.48	$60.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $8.68 / $11.27	Professional		$5.24	$8.68	$11.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $77.02 / $185.84	Facility		$25.90	$77.02	$185.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $25.90 / $34.00	Professional		$25.90	$25.90	$34.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $46.42 / $46.42	Professional		$46.42	$46.42	$46.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $46.42 / $46.42	Professional		$46.42	$46.42	$46.42
United Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $23.39 / $47.33	Professional		$15.78	$23.39	$47.33