Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $70.02 / $82.49	Facility		$36.61	$70.02	$82.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $36.61 / $61.69	Professional		$35.54	$36.61	$61.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.44 / $65.77 / $79.28	Facility		$44.44	$65.77	$79.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $45.14	Professional		$35.54	$35.54	$45.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.67 / $48.67 / $56.88	Facility		$48.67	$48.67	$56.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.64 / $44.33 / $69.94	Facility		$33.64	$44.33	$69.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $35.69 / $43.31	Professional		$34.49	$35.69	$43.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $35.90 / $78.41	Facility		$18.55	$35.90	$78.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $71.09 / $71.09	Professional		$8.02	$71.09	$71.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $35.90 / $79.12	Facility		$18.55	$35.90	$79.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $35.90 / $71.09	Professional		$35.90	$35.90	$71.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.99 / $65.00 / $85.00	Professional		$33.99	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $35.90 / $78.41	Facility		$18.55	$35.90	$78.41
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $71.09 / $71.09	Professional		$8.02	$71.09	$71.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $37.77 / $105.00	Professional		$35.54	$37.77	$105.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $35.54 / $169.95	Facility		$35.54	$35.54	$169.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $49.91 / $49.91	Professional		$25.28	$49.91	$49.91
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $48.68	Professional		$35.54	$35.54	$48.68