Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $26.22 / $26.22	Facility		$26.22	$26.22	$26.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $29.16 / $38.27	Professional		$26.22	$29.16	$38.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.98 / $57.18 / $94.60	Facility		$51.98	$57.18	$94.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $48.34 / $63.93	Professional		$46.78	$48.34	$63.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.39 / $111.24 / $111.24	Facility		$37.39	$111.24	$111.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $107.89 / $216.93	Facility		$31.92	$107.89	$216.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $75.47 / $98.38	Professional		$23.30	$75.47	$98.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $39.33 / $59.78	Facility		$15.85	$39.33	$59.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $49.22 / $62.38	Professional		$29.75	$49.22	$62.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $51.98 / $258.76	Facility		$26.22	$51.98	$258.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $28.65 / $56.59	Professional		$23.41	$28.65	$56.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $55.00 / $85.00	Professional		$23.14	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $39.33 / $59.78	Facility		$15.85	$39.33	$59.78
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $49.22 / $62.38	Professional		$29.75	$49.22	$62.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $79.98 / $147.54	Professional		$51.98	$79.98	$147.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $101.52 / $258.76	Facility		$31.92	$101.52	$258.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $31.92 / $324.87	Professional		$23.30	$31.92	$324.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $51.98 / $51.98	Professional		$51.98	$51.98	$51.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $51.98 / $51.98	Professional		$41.49	$51.98	$51.98
United Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $27.26 / $49.69	Professional		$20.47	$27.26	$49.69