Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $36.29 / $36.29	Facility		$36.29	$36.29	$36.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $32.65 / $42.80	Professional		$22.81	$32.65	$42.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.30 / $97.01 / $97.01	Facility		$53.30	$97.01	$97.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $49.57 / $71.90	Professional		$49.53	$49.57	$71.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $32.15 / $113.98	Facility		$4.30	$32.15	$113.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $142.38	Facility		$35.11	$35.11	$142.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $61.88 / $77.34	Professional		$35.11	$61.88	$77.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $47.68 / $68.54	Facility		$18.94	$47.68	$68.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $39.60 / $71.52	Professional		$39.60	$39.60	$71.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $71.52 / $251.92	Facility		$18.94	$71.52	$251.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $32.99 / $69.01	Professional		$24.86	$32.99	$69.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $39.40 / $65.00	Professional		$23.64	$39.40	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $47.68 / $68.54	Facility		$18.94	$47.68	$68.54
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $39.60 / $71.52	Professional		$39.60	$39.60	$71.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $12.62 / $16.39	Professional		$7.04	$12.62	$16.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $103.42 / $251.92	Facility		$35.11	$103.42	$251.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $35.11 / $41.86	Professional		$35.11	$35.11	$41.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $56.44 / $56.44	Professional		$56.44	$56.44	$56.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $56.44 / $56.44	Professional		$56.44	$56.44	$56.44
United Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $32.99 / $56.44	Professional		$23.75	$32.99	$56.44