Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.38 / $50.38 / $50.38	Facility		$50.38	$50.38	$50.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $50.38 / $100.48	Professional		$49.28	$50.38	$100.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.86 / $109.85 / $181.75	Facility		$99.86	$109.85	$181.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.87 / $92.87 / $122.82	Professional		$92.87	$92.87	$122.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.84 / $213.70 / $213.70	Facility		$71.84	$213.70	$213.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $206.39 / $417.07	Facility		$64.62	$206.39	$417.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $144.84 / $189.00	Professional		$47.17	$144.84	$189.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.11 / $75.56 / $114.84	Facility		$28.11	$75.56	$114.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $57.19 / $99.86 / $119.83	Professional		$57.19	$99.86	$119.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $99.86 / $463.13	Facility		$48.66	$99.86	$463.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $51.80 / $108.87	Professional		$40.27	$51.80	$108.87
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 $28.11 / $75.56 / $114.84	Facility		$28.11	$75.56	$114.84
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $57.19 / $99.86 / $119.83	Professional		$57.19	$99.86	$119.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $99.86 / $153.69 / $260.95	Professional		$99.86	$153.69	$260.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $195.04 / $463.13	Facility		$64.62	$195.04	$463.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $64.62 / $669.96	Professional		$47.17	$64.62	$669.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $99.86 / $99.86 / $99.86	Professional		$99.86	$99.86	$99.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $99.86 / $99.86 / $99.86	Professional		$99.86	$99.86	$99.86
United Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $49.82 / $93.11	Professional		$34.10	$49.82	$93.11