Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $36.74 / $43.26	Facility		$19.39	$36.74	$43.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $21.62 / $52.11	Professional		$20.99	$21.62	$52.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $38.83 / $46.81	Facility		$26.24	$38.83	$46.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $26.65	Professional		$20.99	$20.99	$26.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.74 / $28.74 / $33.58	Facility		$28.74	$28.74	$33.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $26.73 / $61.64	Facility		$20.99	$26.73	$61.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $34.03 / $38.68	Professional		$20.99	$34.03	$38.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $18.84 / $46.33	Facility		$18.84	$18.84	$46.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $41.98 / $41.98	Professional		$28.26	$41.98	$41.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $18.84 / $41.34	Facility		$18.84	$18.84	$41.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $18.84 / $39.56	Professional		$18.84	$18.84	$39.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $65.00 / $85.00	Professional		$20.41	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $18.84 / $46.33	Facility		$18.84	$18.84	$46.33
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $41.98 / $41.98	Professional		$28.26	$41.98	$41.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $28.80 / $73.70	Professional		$20.99	$28.80	$73.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $102.05 / $102.05 / $102.05	Facility		$102.05	$102.05	$102.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $29.47 / $29.47	Professional		$29.47	$29.47	$29.47
United Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $28.74	Professional		$20.99	$20.99	$28.74