Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.16 / $31.16 / $31.16	Facility		$31.16	$31.16	$31.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $42.46 / $65.51	Professional		$31.16	$42.46	$65.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.05 / $55.06 / $91.09	Facility		$50.05	$55.06	$91.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $50.05 / $62.56	Professional		$46.55	$50.05	$62.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $107.11 / $107.11	Facility		$67.56	$107.11	$107.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $185.74 / $239.33	Facility		$52.17	$185.74	$239.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $82.86 / $94.16	Professional		$44.34	$82.86	$94.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $46.74 / $60.06	Facility		$18.91	$46.74	$60.06
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $50.05 / $60.06	Professional		$25.97	$50.05	$60.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.16 / $57.80 / $256.42	Facility		$31.16	$57.80	$256.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $49.26 / $89.80	Professional		$41.86	$49.26	$89.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.41 / $55.00 / $85.00	Professional		$40.41	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $47.03 / $60.06	Facility		$18.91	$47.03	$60.06
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $50.05 / $60.06	Professional		$25.97	$50.05	$60.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $60.74 / $114.66	Professional		$50.05	$60.74	$114.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $97.18 / $256.42	Facility		$52.17	$97.18	$256.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $52.17 / $390.45	Professional		$44.34	$52.17	$390.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $76.44 / $76.44	Professional		$76.44	$76.44	$76.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $76.44 / $76.44	Professional		$76.44	$76.44	$76.44
United Facility/Professional Professional Modifier Low / Median / High Price $34.89 / $46.85 / $78.09	Professional		$34.89	$46.85	$78.09