Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.78 / $33.68 / $39.67	Facility		$15.78	$33.68	$39.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.78 / $45.25	Professional		$15.33	$15.78	$45.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.16 / $19.16 / $19.16	Facility		$19.16	$19.16	$19.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $19.46	Professional		$15.33	$15.33	$19.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $20.99 / $24.53	Facility		$20.99	$20.99	$24.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $40.21 / $57.47	Facility		$15.32	$40.21	$57.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $25.62 / $29.11	Professional		$15.32	$25.62	$29.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $17.27 / $33.50	Facility		$15.33	$17.27	$33.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $30.66 / $30.66	Professional		$15.77	$30.66	$30.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.22 / $17.27 / $37.78	Facility		$17.22	$17.27	$37.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $30.66	Professional		$17.27	$17.27	$30.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $65.00 / $85.00	Professional		$16.77	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $17.27 / $33.50	Facility		$15.33	$17.27	$33.50
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $30.66 / $30.66	Professional		$15.77	$30.66	$30.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $23.86 / $52.00	Professional		$15.33	$23.86	$52.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $15.32	Professional		$15.32	$15.32	$15.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $29.52	Professional		$21.52	$21.52	$29.52
United Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $24.53	Professional		$15.33	$15.33	$24.53