Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.26 / $23.26 / $23.26	Facility		$23.26	$23.26	$23.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.69 / $26.70	Professional		$15.14	$20.69	$26.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $61.15 / $61.15	Facility		$33.60	$61.15	$61.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $31.25 / $45.34	Professional		$31.24	$31.25	$45.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $23.68 / $85.32	Facility		$2.37	$23.68	$85.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $22.73 / $91.91	Facility		$22.73	$22.73	$91.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $40.13 / $50.16	Professional		$22.73	$40.13	$50.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $31.90 / $45.85	Facility		$10.91	$31.90	$45.85
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $22.82 / $47.84	Professional		$22.82	$22.82	$47.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $41.87 / $162.68	Facility		$10.91	$41.87	$162.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $19.00 / $42.27	Professional		$14.32	$19.00	$42.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $50.00 / $65.00	Professional		$11.59	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $31.90 / $45.85	Facility		$10.91	$31.90	$45.85
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $22.82 / $47.84	Professional		$22.82	$22.82	$47.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $7.89 / $10.24	Professional		$4.44	$7.89	$10.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $65.22 / $162.68	Facility		$22.73	$65.22	$162.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $22.73 / $29.83	Professional		$22.73	$22.73	$29.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $38.89 / $38.89	Professional		$38.89	$38.89	$38.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $38.89 / $38.89	Professional		$38.89	$38.89	$38.89
United Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $18.77 / $40.22	Professional		$13.41	$18.77	$40.22