Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.60 / $38.60 / $38.60	Facility		$38.60	$38.60	$38.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $33.68 / $43.30	Professional		$23.07	$33.68	$43.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.90 / $101.74 / $101.74	Facility		$55.90	$101.74	$101.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $51.99 / $69.87	Professional		$51.98	$51.99	$69.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $35.44 / $119.60	Facility		$4.74	$35.44	$119.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $143.28	Facility		$34.40	$34.40	$143.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $61.88 / $77.34	Professional		$34.40	$61.88	$77.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $52.55 / $75.54	Facility		$20.87	$52.55	$75.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $43.64 / $78.83	Professional		$43.64	$43.64	$78.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $80.84 / $247.01	Facility		$20.87	$80.84	$247.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $36.74 / $67.20	Professional		$26.17	$36.74	$67.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $43.64 / $65.00	Professional		$26.18	$43.64	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $57.90 / $75.54	Facility		$20.87	$57.90	$75.54
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $43.64 / $78.83	Professional		$43.64	$43.64	$78.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $11.83 / $15.36	Professional		$7.38	$11.83	$15.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $108.52 / $247.01	Facility		$34.40	$108.52	$247.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $34.40 / $40.90	Professional		$34.40	$34.40	$40.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $61.23 / $61.23	Professional		$61.23	$61.23	$61.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $61.23 / $61.23	Professional		$61.23	$61.23	$61.23
United Facility/Professional Facility Modifier Low / Median / High Price $2.74 / $22.42 / $34.04	Facility		$2.74	$22.42	$34.04
United Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $35.44 / $61.23	Professional		$21.91	$35.44	$61.23