Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.84 / $71.64 / $84.38	Facility		$37.84	$71.64	$84.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $37.86 / $76.27	Professional		$36.77	$37.86	$76.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $68.02 / $82.00	Facility		$45.96	$68.02	$82.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $46.69	Professional		$36.77	$36.77	$46.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.34 / $50.34 / $58.83	Facility		$50.34	$50.34	$58.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $46.45 / $96.56	Facility		$36.77	$46.45	$96.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $52.26 / $59.39	Professional		$36.00	$52.26	$59.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $36.74 / $81.27	Facility		$25.17	$36.74	$81.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $73.54 / $73.54	Professional		$55.11	$73.54	$73.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $36.74 / $81.27	Facility		$25.17	$36.74	$81.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $73.54	Professional		$36.74	$36.74	$73.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.75 / $55.00 / $85.00	Professional		$34.75	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $36.74 / $81.27	Facility		$25.17	$36.74	$81.27
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $73.54 / $73.54	Professional		$55.11	$73.54	$73.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $49.45 / $107.00	Professional		$36.76	$49.45	$107.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $173.75 / $173.75 / $173.75	Facility		$173.75	$173.75	$173.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $36.77	Professional		$36.77	$36.77	$36.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $51.63 / $51.63	Professional		$34.33	$51.63	$51.63
United Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $50.35	Professional		$36.77	$36.77	$50.35