Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $72.52 / $83.29	Facility		$37.36	$72.52	$83.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $37.36 / $45.35	Professional		$36.28	$37.36	$45.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.35 / $67.12 / $80.90	Facility		$45.35	$67.12	$80.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $48.97	Professional		$36.28	$36.28	$48.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $50.76 / $66.50	Facility		$36.26	$50.76	$66.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $36.28 / $84.12	Professional		$36.26	$36.28	$84.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $52.73 / $120.31	Facility		$36.28	$52.73	$120.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $45.61 / $60.40	Professional		$36.28	$45.61	$60.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $36.28 / $40.11	Facility		$36.26	$36.28	$40.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $72.56 / $72.56	Professional		$54.39	$72.56	$72.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $36.26 / $40.10	Facility		$36.26	$36.26	$40.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $40.36 / $156.44	Professional		$36.26	$40.36	$156.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $36.28 / $40.38	Facility		$36.26	$36.28	$40.38
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $72.56 / $72.56	Professional		$54.39	$72.56	$72.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $55.49 / $118.87	Professional		$36.27	$55.49	$118.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $36.28 / $179.00	Facility		$35.79	$36.28	$179.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $65.19 / $156.44	Professional		$36.28	$65.19	$156.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $50.94 / $50.94	Professional		$43.89	$50.94	$50.94
United Facility/Professional Facility Modifier Low / Median / High Price $41.92 / $41.92 / $41.92	Facility		$41.92	$41.92	$41.92
United Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $37.36 / $43.17	Professional		$36.28	$37.36	$43.17