Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.85 / $50.85 / $50.85	Facility		$50.85	$50.85	$50.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $50.85 / $83.07	Professional		$43.74	$50.85	$83.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.82 / $110.90 / $183.49	Facility		$100.82	$110.90	$183.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $93.76 / $124.00	Professional		$90.73	$93.76	$124.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $215.75 / $215.75	Facility		$72.52	$215.75	$215.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $208.25 / $421.27	Facility		$65.20	$208.25	$421.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $146.25 / $190.80	Professional		$47.60	$146.25	$190.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.35 / $76.28 / $115.94	Facility		$24.35	$76.28	$115.94
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $85.58 / $120.98	Professional		$57.72	$85.58	$120.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.15 / $100.80 / $394.95	Facility		$42.15	$100.80	$394.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $50.29 / $109.77	Professional		$37.72	$50.29	$109.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $55.00 / $85.00	Professional		$39.86	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.35 / $76.28 / $115.94	Facility		$24.35	$76.28	$115.94
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $85.58 / $120.98	Professional		$57.72	$85.58	$120.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $151.22 / $226.84	Professional		$100.82	$151.22	$226.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $196.90 / $394.95	Facility		$65.20	$196.90	$394.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $65.20 / $443.03	Professional		$47.60	$65.20	$443.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $100.82 / $100.82	Professional		$100.82	$100.82	$100.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $100.82 / $100.82	Professional		$100.82	$100.82	$100.82
United Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $50.29 / $89.38	Professional		$33.53	$50.29	$89.38