Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.38 / $75.38 / $75.38	Facility		$75.38	$75.38	$75.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $56.00 / $88.39	Professional		$47.10	$56.00	$88.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.90 / $189.10 / $189.10	Facility		$103.90	$189.10	$189.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $103.90 / $140.31	Professional		$96.63	$103.90	$140.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.35 / $73.27 / $230.82	Facility		$10.35	$73.27	$230.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $66.45 / $268.52	Facility		$66.45	$66.45	$268.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $116.63 / $145.78	Professional		$66.45	$116.63	$145.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.67 / $115.02 / $165.35	Facility		$45.67	$115.02	$165.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $95.52 / $172.54	Professional		$95.52	$95.52	$172.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.38 / $159.97 / $476.61	Facility		$75.38	$159.97	$476.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.05 / $77.56 / $136.22	Professional		$56.05	$77.56	$136.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $63.00 / $105.01	Professional		$50.00	$63.00	$105.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.67 / $115.02 / $165.35	Facility		$45.67	$115.02	$165.35
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $95.52 / $172.54	Professional		$95.52	$95.52	$172.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $21.30 / $27.65	Professional		$13.71	$21.30	$27.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $201.82 / $476.61	Facility		$66.45	$201.82	$476.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $66.45 / $88.97	Professional		$66.45	$66.45	$88.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $126.62 / $126.62	Professional		$126.62	$126.62	$126.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $126.62 / $126.62	Professional		$126.62	$126.62	$126.62
United Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $74.73 / $133.16	Professional		$47.95	$74.73	$133.16