Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.70 / $31.70 / $31.70	Facility		$31.70	$31.70	$31.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $33.70 / $43.66	Professional		$29.99	$33.70	$43.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.84 / $69.12 / $114.37	Facility		$62.84	$69.12	$114.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.55 / $58.44 / $77.29	Professional		$56.55	$58.44	$77.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.21 / $134.47 / $134.47	Facility		$45.21	$134.47	$134.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $138.25 / $261.72	Facility		$35.07	$138.25	$261.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $90.94 / $118.94	Professional		$25.60	$90.94	$118.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $47.55 / $72.27	Facility		$18.07	$47.55	$72.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $61.32 / $75.41	Professional		$35.97	$61.32	$75.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $62.84 / $292.55	Facility		$31.29	$62.84	$292.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $32.92 / $68.42	Professional		$27.43	$32.92	$68.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $58.40 / $85.00	Professional		$32.84	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $47.55 / $72.27	Facility		$18.07	$47.55	$72.27
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $61.32 / $75.41	Professional		$35.97	$61.32	$75.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $96.71 / $167.62	Professional		$62.84	$96.71	$167.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $122.74 / $292.55	Facility		$35.07	$122.74	$292.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $35.07 / $316.33	Professional		$25.60	$35.07	$316.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $62.84 / $62.84	Professional		$62.84	$62.84	$62.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $62.84 / $62.84	Professional		$50.18	$62.84	$62.84
United Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $31.35 / $55.71	Professional		$21.92	$31.35	$55.71