Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $39.82 / $39.82	Facility		$39.82	$39.82	$39.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $35.84 / $46.97	Professional		$25.03	$35.84	$46.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.70 / $108.65 / $108.65	Facility		$59.70	$108.65	$108.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.49 / $55.52 / $80.55	Professional		$55.49	$55.52	$80.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.44 / $33.36 / $127.69	Facility		$4.44	$33.36	$127.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.06 / $39.06 / $159.50	Facility		$39.06	$39.06	$159.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $69.00 / $86.25	Professional		$39.06	$69.00	$86.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $49.42 / $71.68	Facility		$19.63	$49.42	$71.68
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $41.06 / $74.14	Professional		$41.06	$41.06	$74.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $74.14 / $280.24	Facility		$19.63	$74.14	$280.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $35.15 / $74.14	Professional		$25.77	$35.15	$74.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $50.00 / $65.00	Professional		$27.07	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $52.35 / $71.68	Facility		$19.63	$52.35	$71.68
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $41.06 / $74.14	Professional		$41.06	$41.06	$74.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $14.20 / $18.44	Professional		$7.88	$14.20	$18.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.06 / $115.86 / $280.24	Facility		$39.06	$115.86	$280.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $39.06 / $51.26	Professional		$39.06	$39.06	$51.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $60.73 / $60.73	Professional		$60.73	$60.73	$60.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $60.73 / $60.73	Professional		$60.73	$60.73	$60.73
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $34.52 / $71.45	Professional		$23.17	$34.52	$71.45