Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $33.40 / $33.40	Facility		$33.40	$33.40	$33.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $30.06 / $39.40	Professional		$20.99	$30.06	$39.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $91.18 / $91.18	Facility		$50.10	$91.18	$91.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.59 / $46.65 / $67.63	Professional		$46.59	$46.65	$67.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.71 / $27.79 / $107.34	Facility		$3.71	$27.79	$107.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $32.79 / $152.58	Facility		$32.79	$32.79	$152.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $58.13 / $72.66	Professional		$32.79	$58.13	$72.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $41.23 / $60.12	Facility		$16.37	$41.23	$60.12
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $34.22 / $61.85	Professional		$34.22	$34.22	$61.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $80.00 / $235.26	Facility		$16.37	$80.00	$235.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $29.30 / $62.04	Professional		$21.49	$29.30	$62.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $38.79 / $65.00	Professional		$23.28	$38.79	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $50.10 / $60.12	Facility		$16.37	$50.10	$60.12
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $34.22 / $61.85	Professional		$34.22	$34.22	$61.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $11.83 / $15.36	Professional		$6.61	$11.83	$15.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $97.38 / $235.26	Facility		$32.79	$97.38	$235.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $32.79 / $39.42	Professional		$32.79	$32.79	$39.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $50.84 / $50.84	Professional		$50.84	$50.84	$50.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $50.84 / $50.84	Professional		$50.84	$50.84	$50.84
United Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $28.50 / $50.84	Professional		$20.53	$28.50	$50.84