Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $37.50 / $37.50	Facility		$37.50	$37.50	$37.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $56.87 / $80.23	Professional		$37.50	$56.87	$80.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.23 / $69.55 / $115.08	Facility		$63.23	$69.55	$115.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $63.23 / $77.77	Professional		$58.80	$63.23	$77.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $135.31 / $135.31	Facility		$74.73	$135.31	$135.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $217.00 / $303.70	Facility		$67.20	$217.00	$303.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $104.70 / $118.98	Professional		$49.06	$104.70	$118.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $57.92 / $75.88	Facility		$33.46	$57.92	$75.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $59.48 / $75.88	Professional		$32.81	$59.48	$75.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $73.03 / $324.51	Facility		$37.50	$73.03	$324.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $60.47 / $97.09	Professional		$47.06	$60.47	$97.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $57.92 / $75.88	Facility		$33.46	$57.92	$75.88
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $59.48 / $75.88	Professional		$32.81	$59.48	$75.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $76.51 / $133.79	Professional		$63.23	$76.51	$133.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $122.78 / $324.51	Facility		$67.20	$122.78	$324.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $67.20 / $525.47	Professional		$49.06	$67.20	$525.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $89.19 / $89.19 / $89.19	Professional		$89.19	$89.19	$89.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $89.19 / $97.59	Professional		$82.95	$89.19	$97.59
United Facility/Professional Facility Modifier Low / Median / High Price $149.47 / $149.47 / $149.47	Facility		$149.47	$149.47	$149.47
United Facility/Professional Professional Modifier Low / Median / High Price $39.94 / $53.51 / $87.87	Professional		$39.94	$53.51	$87.87