Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $185.27 / $222.98	Facility		$61.80	$185.27	$222.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $61.80 / $166.77	Professional		$60.00	$61.80	$166.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $93.00	Professional		$60.00	$60.00	$93.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.14 / $82.14 / $96.00	Facility		$82.14	$82.14	$96.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $116.69 / $166.80	Facility		$60.00	$116.69	$166.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $75.04 / $109.22	Professional		$65.67	$75.04	$109.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.42 / $63.59 / $97.07	Facility		$30.42	$63.59	$97.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $120.00 / $145.61	Professional		$16.57	$120.00	$145.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.42 / $97.07 / $207.73	Facility		$30.42	$97.07	$207.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.07 / $97.07 / $145.61	Professional		$97.07	$97.07	$145.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $85.75	Professional		$65.00	$85.00	$85.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.42 / $63.59 / $97.07	Facility		$30.42	$63.59	$97.07
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $120.00 / $145.61	Professional		$16.57	$120.00	$145.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $65.09 / $139.69	Professional		$60.00	$65.09	$139.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $367.35 / $367.35 / $367.35	Facility		$367.35	$367.35	$367.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $73.41 / $84.24 / $109.28	Professional		$73.41	$84.24	$109.28
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $100.83	Professional		$60.00	$60.00	$100.83