Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $30.38 / $35.79	Facility		$16.05	$30.38	$35.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.55 / $26.77	Professional		$16.07	$16.55	$26.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $29.75 / $35.86	Facility		$20.10	$29.75	$35.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $24.92	Professional		$16.07	$16.07	$24.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $22.02 / $25.73	Facility		$22.02	$22.02	$25.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.93 / $9.01 / $16.07	Facility		$4.93	$9.01	$16.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $32.78 / $37.25	Professional		$22.01	$32.78	$37.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $15.58 / $35.65	Facility		$15.58	$15.58	$35.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $32.15 / $32.15	Professional		$7.48	$32.15	$32.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $15.58 / $34.21	Facility		$15.58	$15.58	$34.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $15.58 / $32.15	Professional		$15.58	$15.58	$32.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $55.00 / $85.00	Professional		$21.63	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $15.58 / $35.65	Facility		$15.58	$15.58	$35.65
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $32.15 / $32.15	Professional		$7.48	$32.15	$32.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $30.34 / $118.00	Professional		$16.07	$30.34	$118.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $411.35 / $411.35 / $411.35	Facility		$411.35	$411.35	$411.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $15.58 / $15.58	Professional		$15.58	$15.58	$15.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $22.58 / $45.03	Professional		$22.58	$22.58	$45.03
United Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $33.77	Professional		$16.07	$16.07	$33.77