Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.90 / $50.90 / $50.90	Facility		$50.90	$50.90	$50.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $44.69 / $58.55	Professional		$31.20	$44.69	$58.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $130.68 / $130.68	Facility		$71.80	$130.68	$130.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $68.05 / $96.87	Professional		$66.73	$68.05	$96.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.66 / $49.87 / $153.57	Facility		$6.66	$49.87	$153.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $46.18 / $184.73	Facility		$46.18	$46.18	$184.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $80.25 / $100.31	Professional		$46.18	$80.25	$100.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $73.95 / $106.32	Facility		$44.00	$73.95	$106.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $61.40 / $110.94	Professional		$61.40	$61.40	$110.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $107.46 / $331.44	Facility		$44.00	$107.46	$331.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.83 / $50.46 / $94.32	Professional		$36.83	$50.46	$94.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $46.05 / $65.00	Professional		$27.63	$46.05	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $76.34 / $106.32	Facility		$44.00	$76.34	$106.32
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $61.40 / $110.94	Professional		$61.40	$61.40	$110.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $15.78 / $20.48	Professional		$9.48	$15.78	$20.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $139.34 / $331.44	Facility		$46.18	$139.34	$331.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $46.18 / $54.37	Professional		$46.18	$46.18	$54.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $84.13 / $84.13	Professional		$84.13	$84.13	$84.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $84.13 / $84.13	Professional		$84.13	$84.13	$84.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $49.86 / $89.78	Professional		$30.79	$49.86	$89.78