Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $45.82 / $68.73	Facility		$19.91	$45.82	$68.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.91 / $45.98	Professional		$19.32	$19.91	$45.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.16 / $24.16 / $24.16	Facility		$24.16	$24.16	$24.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $24.54	Professional		$19.32	$19.32	$24.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.47 / $26.47 / $30.93	Facility		$26.47	$26.47	$30.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $50.57 / $72.29	Facility		$19.32	$50.57	$72.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $30.68 / $34.86	Professional		$19.32	$30.68	$34.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $22.91 / $42.76	Facility		$16.89	$22.91	$42.76
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $38.65 / $38.65	Professional		$2.41	$38.65	$38.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $22.91 / $90.46	Facility		$16.89	$22.91	$90.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $38.65	Professional		$22.91	$22.91	$38.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $65.00 / $85.00	Professional		$20.91	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $22.91 / $42.76	Facility		$16.89	$22.91	$42.76
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $38.65 / $38.65	Professional		$2.41	$38.65	$38.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $30.08 / $64.00	Professional		$19.32	$30.08	$64.00
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 $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $27.14 / $30.72	Professional		$22.86	$27.14	$30.72
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $26.66	Professional		$19.32	$19.32	$26.66