Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.16 / $45.16 / $45.16	Facility		$45.16	$45.16	$45.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $38.13 / $51.03	Professional		$27.19	$38.13	$51.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $116.30 / $116.30	Facility		$63.90	$116.30	$116.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.43 / $59.45 / $86.26	Professional		$59.43	$59.45	$86.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $43.88 / $136.79	Facility		$5.85	$43.88	$136.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.01 / $39.01 / $155.88	Facility		$39.01	$39.01	$155.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $67.50 / $84.38	Professional		$39.01	$67.50	$84.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $65.01 / $93.45	Facility		$36.00	$65.01	$93.45
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $51.94 / $97.51	Professional		$51.94	$51.94	$97.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $93.28 / $280.00	Facility		$36.00	$93.28	$280.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $43.89 / $77.39	Professional		$32.38	$43.89	$77.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $50.00 / $65.00	Professional		$31.16	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $65.01 / $93.45	Facility		$36.00	$65.01	$93.45
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $51.94 / $97.51	Professional		$51.94	$51.94	$97.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $13.41 / $17.41	Professional		$8.43	$13.41	$17.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.01 / $124.10 / $280.00	Facility		$39.01	$124.10	$280.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $39.01 / $47.20	Professional		$39.01	$39.01	$47.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $72.67 / $72.67	Professional		$72.67	$72.67	$72.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $72.67 / $72.67	Professional		$72.67	$72.67	$72.67
United Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $43.60 / $75.26	Professional		$27.10	$43.60	$75.26