Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Facility		$16.07	$16.07	$16.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $17.94 / $36.24	Professional		$15.91	$17.94	$36.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.87 / $35.06 / $58.00	Facility		$31.87	$35.06	$58.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $29.64 / $39.20	Professional		$27.56	$29.64	$39.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.93 / $68.20 / $68.20	Facility		$22.93	$68.20	$68.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $65.67 / $132.96	Facility		$22.18	$65.67	$132.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $46.41 / $60.31	Professional		$16.19	$46.41	$60.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $24.11 / $36.65	Facility		$9.63	$24.11	$36.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $31.87 / $39.86	Professional		$18.23	$31.87	$39.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $34.72 / $160.57	Facility		$16.07	$34.72	$160.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $17.97 / $35.96	Professional		$14.35	$17.97	$35.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $55.00 / $85.00	Professional		$12.29	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $24.11 / $36.65	Facility		$9.63	$24.11	$36.65
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $31.87 / $39.86	Professional		$18.23	$31.87	$39.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $48.39 / $89.33	Professional		$31.87	$48.39	$89.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $62.24 / $160.57	Facility		$22.18	$62.24	$160.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $22.18 / $242.87	Professional		$16.19	$22.18	$242.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $31.87 / $31.87	Professional		$31.87	$31.87	$31.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $31.87 / $31.87	Professional		$31.87	$31.87	$31.87
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.23 / $31.87	Professional		$12.43	$17.23	$31.87