Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $35.31 / $41.59	Facility		$18.64	$35.31	$41.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $19.43 / $31.11	Professional		$18.86	$19.43	$31.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $34.89 / $42.06	Facility		$23.58	$34.89	$42.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $27.55	Professional		$18.86	$18.86	$27.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $25.82 / $30.18	Facility		$25.82	$25.82	$30.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $22.08 / $50.48	Facility		$18.82	$22.08	$50.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $27.71 / $31.49	Professional		$18.82	$27.71	$31.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $18.11 / $41.34	Facility		$18.11	$18.11	$41.34
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $37.72 / $37.72	Professional		$27.17	$37.72	$37.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $18.11 / $39.93	Facility		$18.11	$18.11	$39.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $37.72	Professional		$18.11	$18.11	$37.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $44.24 / $85.00	Professional		$18.13	$44.24	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $18.11 / $41.34	Facility		$18.11	$18.11	$41.34
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $37.72 / $37.72	Professional		$27.17	$37.72	$37.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $28.10 / $60.51	Professional		$18.86	$28.10	$60.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $90.65 / $90.65 / $90.65	Facility		$90.65	$90.65	$90.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Professional		$18.86	$18.86	$18.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $26.48 / $26.48	Professional		$26.48	$26.48	$26.48
United Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $24.52	Professional		$18.86	$18.86	$24.52