Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $25.59 / $25.59	Facility		$25.59	$25.59	$25.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $23.03 / $30.20	Professional		$16.07	$23.03	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $70.06 / $70.06	Facility		$38.50	$70.06	$70.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $35.85 / $51.97	Professional		$35.81	$35.85	$51.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $27.17 / $83.78	Facility		$2.72	$27.17	$83.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.20 / $33.20 / $184.15	Facility		$33.20	$33.20	$184.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $44.63 / $55.78	Professional		$15.97	$44.63	$55.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $31.32 / $46.06	Facility		$12.43	$31.32	$46.06
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $46.98	Professional		$26.00	$26.00	$46.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $46.98 / $180.74	Facility		$12.43	$46.98	$180.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $22.26 / $47.34	Professional		$16.32	$22.26	$47.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $50.00 / $65.00	Professional		$12.96	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $31.32 / $46.06	Facility		$12.43	$31.32	$46.06
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $46.98	Professional		$26.00	$26.00	$46.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $8.68 / $11.27	Professional		$5.08	$8.68	$11.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $74.86 / $180.74	Facility		$65.00	$74.86	$180.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $30.30 / $31.34	Professional		$15.97	$30.30	$31.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $38.84 / $38.84	Professional		$38.84	$38.84	$38.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $38.84 / $38.84	Professional		$38.84	$38.84	$38.84
United Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $23.30 / $38.84	Professional		$15.78	$23.30	$38.84