Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.53 / $34.53 / $34.53	Facility		$34.53	$34.53	$34.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $34.53 / $61.74	Professional		$32.51	$34.53	$61.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $75.30 / $124.58	Facility		$68.45	$75.30	$124.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $63.66 / $84.19	Professional		$61.60	$63.66	$84.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.24 / $146.47 / $146.47	Facility		$49.24	$146.47	$146.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $141.66 / $285.51	Facility		$42.77	$141.66	$285.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $99.38 / $129.55	Professional		$31.22	$99.38	$129.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $51.80 / $78.72	Facility		$22.05	$51.80	$78.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $39.19 / $68.45 / $91.27	Professional		$39.19	$68.45	$91.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.53 / $68.27 / $365.88	Facility		$34.53	$68.27	$365.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $39.84 / $77.27	Professional		$31.01	$39.84	$77.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $55.00 / $85.00	Professional		$27.88	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $51.80 / $78.72	Facility		$22.05	$51.80	$78.72
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $39.19 / $68.45 / $91.27	Professional		$39.19	$68.45	$91.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $105.35 / $204.75	Professional		$68.45	$105.35	$204.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $133.69 / $365.88	Facility		$42.77	$133.69	$365.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $42.77 / $638.46	Professional		$31.22	$42.77	$638.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $68.45 / $68.45	Professional		$68.45	$68.45	$68.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $68.45 / $68.45	Professional		$68.45	$68.45	$68.45
United Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $33.85 / $39.84	Facility		$0.05	$33.85	$39.84
United Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $37.90 / $68.45	Professional		$27.27	$37.90	$68.45