Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $64.80 / $74.42	Facility		$33.11	$64.80	$74.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.47 / $37.29	Professional		$32.15	$32.47	$37.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.19 / $59.48 / $71.69	Facility		$40.19	$59.48	$71.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $43.40	Professional		$32.15	$32.15	$43.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $45.01 / $58.93	Facility		$32.15	$45.01	$58.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.40 / $74.55	Professional		$32.15	$32.40	$74.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $40.98 / $90.62	Facility		$32.15	$40.98	$90.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $34.94 / $56.85	Professional		$32.15	$34.94	$56.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $32.47 / $36.26	Facility		$32.15	$32.47	$36.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $64.30 / $64.30	Professional		$48.60	$64.30	$64.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $32.40 / $35.99	Facility		$32.40	$32.40	$35.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $32.40 / $143.25	Professional		$32.40	$32.40	$143.25
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 $32.15 / $32.40 / $36.26	Facility		$32.15	$32.40	$36.26
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $64.30 / $64.30	Professional		$48.60	$64.30	$64.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $50.04 / $108.06	Professional		$32.15	$50.04	$108.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.38 / $161.90 / $161.90	Facility		$32.38	$161.90	$161.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $59.69 / $143.25	Professional		$32.15	$59.69	$143.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $45.14 / $45.14	Professional		$45.14	$45.14	$45.14
United Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $40.56	Professional		$32.15	$32.15	$40.56