Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $32.17 / $41.87	Professional		$22.31	$32.17	$41.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $100.10 / $100.10	Facility		$55.00	$100.10	$100.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $51.15 / $74.23	Professional		$51.14	$51.15	$74.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $35.01 / $117.68	Facility		$4.70	$35.01	$117.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $33.36 / $134.27	Facility		$33.36	$33.36	$134.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $58.50 / $73.13	Professional		$33.36	$58.50	$73.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $51.90 / $74.61	Facility		$31.00	$51.90	$74.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $43.10 / $77.86	Professional		$43.10	$43.10	$77.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $80.00 / $239.48	Facility		$31.00	$80.00	$239.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $35.96 / $66.88	Professional		$25.85	$35.96	$66.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.47 / $45.79 / $65.00	Professional		$27.47	$45.79	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $51.90 / $74.61	Facility		$31.00	$51.90	$74.61
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $43.10 / $77.86	Professional		$43.10	$43.10	$77.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $11.04 / $14.34	Professional		$7.26	$11.04	$14.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $106.78 / $239.48	Facility		$33.36	$106.78	$239.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $39.20	Professional		$33.36	$33.36	$39.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $59.93 / $59.93	Professional		$59.93	$59.93	$59.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $59.93 / $59.93	Professional		$59.93	$59.93	$59.93
United Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $35.00 / $63.66	Professional		$21.64	$35.00	$63.66