Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $31.98 / $37.65	Facility		$16.89	$31.98	$37.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $17.01 / $28.18	Professional		$16.52	$17.01	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $30.56 / $36.84	Facility		$20.65	$30.56	$36.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $20.98	Professional		$16.52	$16.52	$20.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $22.62 / $26.43	Facility		$22.62	$22.62	$26.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $36.10 / $51.60	Facility		$16.52	$36.10	$51.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $23.51 / $26.71	Professional		$16.42	$23.51	$26.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $16.39 / $36.36	Facility		$16.39	$16.39	$36.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $33.04 / $33.04	Professional		$24.60	$33.04	$33.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $16.39 / $36.36	Facility		$16.39	$16.39	$36.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.39 / $33.04	Professional		$16.39	$16.39	$33.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $38.11 / $85.00	Professional		$15.62	$38.11	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $16.39 / $36.36	Facility		$16.39	$16.39	$36.36
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $33.04 / $33.04	Professional		$24.60	$33.04	$33.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $24.22 / $52.95	Professional		$16.51	$24.22	$52.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $16.52	Professional		$16.52	$16.52	$16.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $23.19 / $23.19	Professional		$23.19	$23.19	$23.19
United Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $15.62 / $36.54	Facility		$15.62	$15.62	$36.54
United Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $22.13	Professional		$16.52	$16.52	$22.13