Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.10 / $39.10 / $39.10	Facility		$39.10	$39.10	$39.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $34.93 / $43.88	Professional		$23.38	$34.93	$43.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $105.74 / $105.74	Facility		$58.10	$105.74	$105.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $54.03 / $71.45	Professional		$44.81	$54.03	$71.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $33.52 / $124.33	Facility		$4.47	$33.52	$124.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $36.65 / $154.09	Facility		$36.65	$36.65	$154.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $66.75 / $83.44	Professional		$36.65	$66.75	$83.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $49.68 / $71.42	Facility		$17.01	$49.68	$71.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $35.57 / $74.52	Professional		$35.57	$35.57	$74.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $71.42 / $262.88	Facility		$17.01	$71.42	$262.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $31.14 / $70.09	Professional		$24.35	$31.14	$70.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $50.00 / $65.00	Professional		$22.32	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $49.68 / $71.42	Facility		$17.01	$49.68	$71.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $35.57 / $74.52	Professional		$35.57	$35.57	$74.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $12.62 / $16.39	Professional		$7.67	$12.62	$16.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $112.82 / $262.88	Facility		$36.65	$112.82	$262.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $36.65 / $42.64	Professional		$36.65	$36.65	$42.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.65 / $61.65 / $61.65	Professional		$61.65	$61.65	$61.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.65 / $61.65 / $61.65	Professional		$61.65	$61.65	$61.65
United Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $30.44 / $66.72	Professional		$22.24	$30.44	$66.72