Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.18 / $23.18 / $23.18	Facility		$23.18	$23.18	$23.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $20.73 / $26.63	Professional		$14.19	$20.73	$26.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.60 / $62.97 / $62.97	Facility		$34.60	$62.97	$62.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $32.19 / $46.71	Professional		$32.18	$32.19	$46.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $19.64 / $74.06	Facility		$2.64	$19.64	$74.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $22.28 / $91.91	Facility		$22.28	$22.28	$91.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $39.75 / $49.69	Professional		$22.28	$39.75	$49.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.91 / $29.10 / $41.83	Facility		$11.91	$29.10	$41.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $24.17 / $43.64	Professional		$24.17	$24.17	$43.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.91 / $43.64 / $159.78	Facility		$11.91	$43.64	$159.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $20.30 / $42.38	Professional		$15.17	$20.30	$42.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $50.00 / $62.15	Professional		$27.96	$50.00	$62.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.91 / $29.10 / $41.83	Facility		$11.91	$29.10	$41.83
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $24.17 / $43.64	Professional		$24.17	$24.17	$43.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $7.89 / $10.24	Professional		$4.57	$7.89	$10.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.09 / $67.20 / $159.78	Facility		$24.09	$67.20	$159.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $29.25	Professional		$22.28	$22.28	$29.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $36.38 / $36.38	Professional		$36.38	$36.38	$36.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $36.38 / $36.38	Professional		$36.38	$36.38	$36.38
United Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $20.12 / $36.38	Professional		$13.45	$20.12	$36.38