Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $21.52 / $21.52	Facility		$21.52	$21.52	$21.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $19.37 / $25.38	Professional		$13.52	$19.37	$25.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $58.97 / $58.97	Facility		$32.40	$58.97	$58.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $30.13 / $43.72	Professional		$30.12	$30.13	$43.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.38 / $17.77 / $69.31	Facility		$2.38	$17.77	$69.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $21.16 / $86.51	Facility		$21.16	$21.16	$86.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $37.50 / $46.88	Professional		$21.16	$37.50	$46.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $26.36 / $38.74	Facility		$10.47	$26.36	$38.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $21.89 / $39.54	Professional		$21.89	$21.89	$39.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $80.00 / $151.87	Facility		$10.47	$80.00	$151.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $18.73 / $39.97	Professional		$13.74	$18.73	$39.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $21.88 / $65.00	Professional		$13.12	$21.88	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $32.28 / $38.74	Facility		$10.47	$32.28	$38.74
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $21.89 / $39.54	Professional		$21.89	$21.89	$39.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $7.89 / $10.24	Professional		$4.28	$7.89	$10.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $62.90 / $151.87	Facility		$21.16	$62.90	$151.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $21.16 / $25.46	Professional		$21.16	$21.16	$25.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $32.67 / $32.67	Professional		$32.67	$32.67	$32.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $32.67 / $32.67	Professional		$32.67	$32.67	$32.67
United Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $19.60 / $32.67	Professional		$13.33	$19.60	$32.67