Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $35.15 / $35.15	Facility		$35.15	$35.15	$35.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $31.64 / $41.59	Professional		$22.20	$31.64	$41.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $95.55 / $95.55	Facility		$52.50	$95.55	$95.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $49.08 / $70.87	Professional		$48.83	$49.08	$70.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $37.96 / $112.93	Facility		$3.77	$37.96	$112.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $24.44 / $141.47	Facility		$24.44	$24.44	$141.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $61.13 / $76.41	Professional		$24.44	$61.13	$76.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $42.22 / $63.29	Facility		$16.76	$42.22	$63.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $35.06 / $63.32	Professional		$35.06	$35.06	$63.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $63.32 / $247.53	Facility		$16.76	$63.32	$247.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $30.72 / $65.81	Professional		$22.00	$30.72	$65.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.16 / $55.27 / $65.00	Professional		$33.16	$55.27	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $45.38 / $63.29	Facility		$16.76	$45.38	$63.29
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $35.06 / $63.32	Professional		$35.06	$35.06	$63.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $12.62 / $16.39	Professional		$6.93	$12.62	$16.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $103.06 / $247.53	Facility		$24.44	$103.06	$247.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $24.44 / $42.61	Professional		$24.44	$24.44	$42.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.77 / $52.77 / $52.77	Professional		$52.77	$52.77	$52.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.77 / $52.77 / $52.77	Professional		$52.77	$52.77	$52.77
United Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $30.72 / $63.58	Professional		$21.02	$30.72	$63.58