Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.47 / $37.47 / $37.47	Facility		$37.47	$37.47	$37.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $37.47 / $54.57	Professional		$28.73	$37.47	$54.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.27 / $81.70 / $135.16	Facility		$74.27	$81.70	$135.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $69.06 / $91.35	Professional		$66.84	$69.06	$91.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.43 / $158.94 / $158.94	Facility		$53.43	$158.94	$158.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $153.84 / $310.70	Facility		$48.99	$153.84	$310.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $107.81 / $140.56	Professional		$35.76	$107.81	$140.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $56.21 / $85.41	Facility		$19.48	$56.21	$85.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $74.27 / $89.12	Professional		$42.52	$74.27	$89.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $74.27 / $330.88	Facility		$33.72	$74.27	$330.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $37.04 / $80.87	Professional		$29.59	$37.04	$80.87
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 $19.48 / $56.21 / $85.41	Facility		$19.48	$56.21	$85.41
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $74.27 / $89.12	Professional		$42.52	$74.27	$89.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.27 / $114.29 / $180.67	Professional		$74.27	$114.29	$180.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $145.06 / $330.88	Facility		$48.99	$145.06	$330.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $48.99 / $527.66	Professional		$35.76	$48.99	$527.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.27 / $74.27 / $74.27	Professional		$74.27	$74.27	$74.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $74.27 / $74.27	Professional		$59.30	$74.27	$74.27
United Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $37.04 / $71.90	Professional		$24.70	$37.04	$71.90