Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $63.71 / $63.71	Facility		$63.71	$63.71	$63.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $47.33 / $72.01	Professional		$38.36	$47.33	$72.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.30 / $166.17 / $166.17	Facility		$91.30	$166.17	$166.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $84.91 / $123.21	Professional		$84.88	$84.91	$123.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $60.05 / $195.32	Facility		$8.00	$60.05	$195.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $72.16 / $94.43	Facility		$55.97	$72.16	$94.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $100.50 / $125.63	Professional		$55.97	$100.50	$125.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $89.08 / $128.05	Facility		$35.36	$89.08	$128.05
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $73.95 / $133.62	Professional		$73.95	$73.95	$133.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $133.38 / $401.40	Facility		$35.36	$133.38	$401.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $61.04 / $110.01	Professional		$44.36	$61.04	$110.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $55.00 / $65.00	Professional		$36.86	$55.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $89.08 / $128.05	Facility		$35.36	$89.08	$128.05
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $73.95 / $133.62	Professional		$73.95	$73.95	$133.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $18.93 / $24.58	Professional		$12.05	$18.93	$24.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $177.22 / $401.40	Facility		$65.00	$177.22	$401.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $55.97 / $73.45	Professional		$55.97	$55.97	$73.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $102.00 / $102.00	Professional		$102.00	$102.00	$102.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $102.00 / $102.00	Professional		$102.00	$102.00	$102.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $61.20 / $103.12	Professional		$37.97	$61.20	$103.12