Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.99 / $32.99 / $32.99	Facility		$32.99	$32.99	$32.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.73 / $37.44	Professional		$19.95	$28.73	$37.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $88.82 / $88.82	Facility		$48.80	$88.82	$88.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $45.40 / $65.88	Professional		$45.38	$45.40	$65.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $34.42 / $113.42	Facility		$3.44	$34.42	$113.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $30.64 / $124.35	Facility		$30.64	$30.64	$124.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $54.00 / $67.50	Professional		$26.04	$54.00	$67.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $42.40 / $60.95	Facility		$14.51	$42.40	$60.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $30.35 / $63.60	Professional		$30.35	$30.35	$63.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $63.60 / $219.96	Facility		$14.51	$63.60	$219.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $26.54 / $59.76	Professional		$20.48	$26.54	$59.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $50.00 / $65.00	Professional		$9.69	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $42.40 / $60.95	Facility		$14.51	$42.40	$60.95
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $30.35 / $63.60	Professional		$30.35	$30.35	$63.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $10.25 / $13.31	Professional		$6.44	$10.25	$13.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $94.80 / $219.96	Facility		$30.64	$94.80	$219.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $30.64 / $40.22	Professional		$30.64	$30.64	$40.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $52.04 / $52.04	Professional		$52.04	$52.04	$52.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $52.04 / $52.04	Professional		$52.04	$52.04	$52.04
United Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $26.54 / $52.04	Professional		$18.96	$26.54	$52.04