Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.17 / $37.17 / $37.17	Facility		$37.17	$37.17	$37.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $33.45 / $43.85	Professional		$23.36	$33.45	$43.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $101.92 / $101.92	Facility		$56.00	$101.92	$101.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $52.08 / $75.53	Professional		$52.03	$52.08	$75.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $30.19 / $119.71	Facility		$3.98	$30.19	$119.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $36.74 / $150.49	Facility		$36.74	$36.74	$150.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $64.88 / $81.09	Professional		$36.74	$64.88	$81.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.77 / $44.75 / $66.91	Facility		$17.77	$44.75	$66.91
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $37.17 / $67.14	Professional		$37.17	$37.17	$67.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.77 / $67.14 / $261.19	Facility		$17.77	$67.14	$261.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $32.02 / $68.61	Professional		$23.33	$32.02	$68.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $50.00 / $65.00	Professional		$18.52	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.77 / $44.75 / $66.91	Facility		$17.77	$44.75	$66.91
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $37.17 / $67.14	Professional		$37.17	$37.17	$67.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $11.83 / $15.36	Professional		$7.39	$11.83	$15.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $109.28 / $261.19	Facility		$36.74	$109.28	$261.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $44.24	Professional		$36.74	$36.74	$44.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Professional		$55.95	$55.95	$55.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Professional		$55.95	$55.95	$55.95
United Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $32.02 / $68.61	Professional		$22.29	$32.02	$68.61