Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.31 / $41.31 / $41.31	Facility		$41.31	$41.31	$41.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $37.18 / $48.74	Professional		$25.97	$37.18	$48.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $112.29 / $112.29	Facility		$61.70	$112.29	$112.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $57.38 / $83.22	Professional		$57.33	$57.38	$83.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $35.01 / $131.93	Facility		$4.70	$35.01	$131.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $164.91	Facility		$40.36	$40.36	$164.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $71.63 / $89.53	Professional		$40.36	$71.63	$89.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $51.90 / $74.61	Facility		$20.61	$51.90	$74.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $43.10 / $77.86	Professional		$43.10	$43.10	$77.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $77.86 / $289.64	Facility		$20.61	$77.86	$289.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $36.89 / $77.86	Professional		$27.05	$36.89	$77.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $50.00 / $65.00	Professional		$21.48	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $51.90 / $74.61	Facility		$20.61	$51.90	$74.61
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $43.10 / $77.86	Professional		$43.10	$43.10	$77.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $14.99 / $19.46	Professional		$8.14	$14.99	$19.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $119.72 / $289.64	Facility		$40.36	$119.72	$289.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $40.36 / $48.45	Professional		$40.36	$40.36	$48.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $63.26	Professional		$63.26	$63.26	$63.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $63.26	Professional		$63.26	$63.26	$63.26
United Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $35.65 / $74.13	Professional		$25.47	$35.65	$74.13