Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $15.36 / $15.36	Facility		$15.36	$15.36	$15.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $17.86 / $22.69	Professional		$15.36	$17.86	$22.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $67.64 / $67.64	Professional		$30.89	$67.64	$67.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $24.10 / $24.10	Facility		$24.10	$24.10	$24.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.94 / $91.00 / $127.36	Facility		$54.94	$91.00	$127.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $42.66 / $54.94	Professional		$34.13	$42.66	$54.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $23.04 / $33.43	Facility		$15.04	$23.04	$33.43
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $25.66 / $25.66	Professional		$25.66	$25.66	$25.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $33.43 / $159.28	Facility		$15.36	$33.43	$159.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $23.89 / $38.79	Professional		$17.64	$23.89	$38.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $58.40 / $85.00	Professional		$49.17	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $23.04 / $33.43	Facility		$15.04	$23.04	$33.43
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $25.66 / $25.66	Professional		$25.66	$25.66	$25.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $70.98 / $92.18	Professional		$38.68	$70.98	$92.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.94 / $57.34 / $159.28	Facility		$54.94	$57.34	$159.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $54.94 / $212.02	Professional		$40.11	$54.94	$212.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $61.76 / $63.02	Professional		$53.57	$61.76	$63.02
United Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $20.01 / $34.58	Professional		$16.23	$20.01	$34.58