Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $60.00 / $70.69	Facility		$26.22	$60.00	$70.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $26.22 / $95.29	Professional		$25.46	$26.22	$95.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.83 / $47.10 / $56.78	Facility		$31.83	$47.10	$56.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $32.33	Professional		$25.46	$25.46	$32.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $34.86 / $40.74	Facility		$34.86	$34.86	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $83.36 / $119.16	Facility		$25.46	$83.36	$119.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.40 / $58.41	Professional		$33.11	$51.40	$58.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $25.50 / $30.77	Facility		$18.04	$25.50	$30.77
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $50.92 / $50.92	Professional		$10.95	$50.92	$50.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $30.77 / $30.77	Facility		$18.04	$30.77	$30.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $34.46 / $50.92	Professional		$30.77	$34.46	$50.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $65.00 / $85.00	Professional		$32.51	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $25.50 / $30.77	Facility		$18.04	$25.50	$30.77
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $50.92 / $50.92	Professional		$10.95	$50.92	$50.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $39.63 / $102.00	Professional		$25.46	$39.63	$102.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.46 / $181.85	Facility		$25.46	$25.46	$181.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Professional		$25.46	$25.46	$25.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $35.75 / $48.86	Professional		$34.72	$35.75	$48.86
United Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $28.52 / $38.19	Professional		$25.46	$28.52	$38.19