Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.38 / $36.38 / $36.38	Facility		$36.38	$36.38	$36.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $40.15 / $114.75	Professional		$36.38	$40.15	$114.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.12 / $79.33 / $131.26	Facility		$72.12	$79.33	$131.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $67.06 / $88.70	Professional		$67.06	$67.06	$88.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $154.34 / $154.34	Facility		$51.88	$154.34	$154.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $149.16 / $300.91	Facility		$46.45	$149.16	$300.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $120.11 / $136.49	Professional		$33.90	$120.11	$136.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $54.57 / $82.94	Facility		$23.23	$54.57	$82.94
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $72.12 / $86.54	Professional		$41.30	$72.12	$86.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.38 / $75.73 / $383.48	Facility		$36.38	$75.73	$383.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $42.80 / $78.54	Professional		$32.67	$42.80	$78.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.65 / $55.00 / $85.00	Professional		$27.65	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $54.57 / $82.94	Facility		$23.23	$54.57	$82.94
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $72.12 / $86.54	Professional		$41.30	$72.12	$86.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $108.18 / $215.80	Professional		$72.12	$108.18	$215.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $140.86 / $383.48	Facility		$46.45	$140.86	$383.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $46.45 / $475.99	Professional		$33.90	$46.45	$475.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $72.12 / $72.12	Professional		$72.12	$72.12	$72.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $72.12 / $72.12	Professional		$72.12	$72.12	$72.12
United Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $41.59 / $72.12	Professional		$28.73	$41.59	$72.12