Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.67 / $46.67 / $46.67	Facility		$46.67	$46.67	$46.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $40.96 / $54.29	Professional		$28.93	$40.96	$54.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.59 / $121.21 / $121.21	Facility		$66.59	$121.21	$121.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.94 / $61.96 / $89.91	Professional		$61.94	$61.96	$89.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $44.35 / $142.57	Facility		$5.90	$44.35	$142.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $42.49 / $172.11	Facility		$42.49	$42.49	$172.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $74.63 / $93.28	Professional		$42.49	$74.63	$93.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $65.79 / $94.58	Facility		$22.51	$65.79	$94.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $47.08 / $47.08 / $98.69	Professional		$47.08	$47.08	$98.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $94.58 / $304.95	Facility		$22.51	$94.58	$304.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $39.32 / $83.30	Professional		$31.72	$39.32	$83.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $50.00 / $65.00	Professional		$23.47	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $65.79 / $94.58	Facility		$22.51	$65.79	$94.58
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $47.08 / $47.08 / $98.69	Professional		$47.08	$47.08	$98.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $14.20 / $18.44	Professional		$8.78	$14.20	$18.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.32 / $129.36 / $304.95	Facility		$54.32	$129.36	$304.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $42.49 / $55.77	Professional		$42.49	$42.49	$55.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $76.17 / $76.17	Professional		$76.17	$76.17	$76.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $76.17 / $76.17	Professional		$76.17	$76.17	$76.17
United Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $38.22 / $79.29	Professional		$24.18	$38.22	$79.29