Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $17.73 / $17.73	Facility		$17.73	$17.73	$17.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $20.64 / $26.22	Professional		$17.73	$20.64	$26.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $50.26 / $59.08	Professional		$35.69	$50.26	$59.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Facility		$27.85	$27.85	$27.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $105.00 / $146.94	Facility		$30.29	$105.00	$146.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $66.75 / $83.44	Professional		$22.11	$66.75	$83.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $26.61 / $38.63	Facility		$17.23	$26.61	$38.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $29.39 / $29.39	Professional		$29.39	$29.39	$29.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $38.63 / $184.09	Facility		$17.73	$38.63	$184.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $27.35 / $44.82	Professional		$20.38	$27.35	$44.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $96.83	Professional		$50.00	$65.00	$96.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $26.61 / $38.63	Facility		$17.23	$26.61	$38.63
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $29.39 / $29.39	Professional		$29.39	$29.39	$29.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $82.04 / $106.52	Professional		$44.70	$82.04	$106.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $66.26 / $184.09	Facility		$30.29	$66.26	$184.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $30.29 / $243.82	Professional		$22.11	$30.29	$243.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $78.90 / $80.51	Professional		$68.43	$78.90	$80.51
United Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $22.52 / $39.74	Professional		$18.77	$22.52	$39.74