Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.13 / $45.11 / $243.67	Facility		$35.13	$45.11	$243.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $58.00 / $149.25	Professional		$31.73	$58.00	$149.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.89 / $75.78 / $125.38	Facility		$68.89	$75.78	$125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $64.06 / $84.73	Professional		$64.06	$64.06	$84.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.89 / $82.67 / $147.41	Facility		$68.89	$82.67	$147.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $72.33 / $105.28	Professional		$68.89	$72.33	$105.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $207.31 / $281.31	Facility		$67.14	$207.31	$281.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $98.44 / $129.61	Professional		$49.01	$98.44	$129.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.74 / $58.85 / $82.60	Facility		$31.74	$58.85	$82.60
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $61.52 / $82.67	Professional		$57.38	$61.52	$82.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $71.25 / $340.47	Facility		$39.22	$71.25	$340.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $57.37 / $92.11	Professional		$45.14	$57.37	$92.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $55.00 / $85.00	Professional		$43.23	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $31.74 / $60.02 / $82.60	Facility		$31.74	$60.02	$82.60
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $61.52 / $82.67	Professional		$57.38	$61.52	$82.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $123.49 / $182.67	Professional		$68.89	$123.49	$182.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $133.76 / $340.47	Facility		$67.14	$133.76	$340.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $67.14 / $612.72	Professional		$49.01	$67.14	$612.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $87.71 / $87.71	Professional		$87.71	$87.71	$87.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $80.02 / $87.71 / $94.14	Professional		$80.02	$87.71	$94.14
United Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $50.00 / $85.96	Professional		$37.89	$50.00	$85.96