Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $26.24 / $10,359.52	Facility		$13.89	$26.24	$10,359.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.89 / $53.11	Professional		$13.49	$13.89	$53.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $24.96 / $30.08	Facility		$16.86	$24.96	$30.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $18.21	Professional		$13.49	$13.49	$18.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $18.89 / $24.72	Facility		$13.12	$18.89	$24.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $13.49 / $31.27	Professional		$13.12	$13.49	$31.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $19.70 / $36.04	Facility		$13.49	$19.70	$36.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.30 / $28.99	Professional		$13.49	$17.30	$28.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $13.89 / $21.86	Facility		$13.12	$13.89	$21.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $26.98 / $26.98	Professional		$19.68	$26.98	$26.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $13.51 / $21.86	Facility		$13.12	$13.51	$21.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $14.61 / $102.03	Professional		$13.12	$14.61	$102.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $13.89 / $21.86	Facility		$13.12	$13.89	$21.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $26.98 / $26.98	Professional		$19.68	$26.98	$26.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $20.99 / $46.62	Professional		$13.48	$20.99	$46.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $85.00 / $101.35	Facility		$13.49	$85.00	$101.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $25.24 / $102.03	Professional		$13.49	$25.24	$102.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $18.94 / $37.69	Professional		$18.94	$18.94	$37.69
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.90 / $17.00	Professional		$13.49	$13.90	$17.00