Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $33.86 / $39.89	Facility		$17.89	$33.86	$39.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $19.05 / $29.84	Professional		$18.50	$19.05	$29.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $34.22 / $41.26	Facility		$23.13	$34.22	$41.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $24.43	Professional		$18.50	$18.50	$24.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $33.29 / $33.90	Facility		$29.60	$33.29	$33.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $42.08 / $60.16	Facility		$18.50	$42.08	$60.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $25.72 / $29.23	Professional		$18.86	$25.72	$29.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $17.37 / $40.64	Facility		$17.37	$17.37	$40.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $37.00 / $37.00	Professional		$26.06	$37.00	$37.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $17.37 / $38.49	Facility		$17.37	$17.37	$38.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $19.34 / $37.00	Professional		$17.37	$19.34	$37.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $45.14 / $85.00	Professional		$18.50	$45.14	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $17.37 / $40.64	Facility		$17.37	$17.37	$40.64
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $37.00 / $37.00	Professional		$26.06	$37.00	$37.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $28.67 / $60.51	Professional		$18.50	$28.67	$60.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $18.50 / $134.80	Facility		$18.50	$18.50	$134.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $18.50	Professional		$18.50	$18.50	$18.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $25.97 / $25.97	Professional		$25.97	$25.97	$25.97
United Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $20.59 / $27.75	Professional		$18.50	$20.59	$27.75