Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $35.86 / $42.24	Facility		$18.70	$35.86	$42.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.70 / $37.96	Professional		$18.14	$18.70	$37.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $33.58 / $40.47	Facility		$22.69	$33.58	$40.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $23.05	Professional		$18.14	$18.14	$23.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.85 / $24.85 / $29.04	Facility		$24.85	$24.85	$29.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $23.11 / $48.64	Facility		$18.14	$23.11	$48.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $26.65 / $30.29	Professional		$18.13	$26.65	$30.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $18.39 / $39.93	Facility		$12.92	$18.39	$39.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $36.29 / $36.29	Professional		$27.59	$36.29	$36.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $18.39 / $40.64	Facility		$12.92	$18.39	$40.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $20.60 / $36.29	Professional		$18.39	$20.60	$36.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $65.00 / $85.00	Professional		$17.57	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $18.39 / $39.93	Facility		$12.92	$18.39	$39.93
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $36.29 / $36.29	Professional		$27.59	$36.29	$36.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $19.23 / $59.43	Professional		$18.14	$19.23	$59.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $87.85 / $87.85 / $87.85	Facility		$87.85	$87.85	$87.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $18.14	Professional		$18.14	$18.14	$18.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Professional		$18.39	$18.39	$18.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $25.48 / $26.31	Professional		$17.72	$25.48	$26.31
United Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $20.32 / $25.41	Professional		$18.14	$20.32	$25.41