Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.18 / $23.18 / $23.18	Facility		$23.18	$23.18	$23.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $23.18 / $41.68	Professional		$21.95	$23.18	$41.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.95 / $50.55 / $83.63	Facility		$45.95	$50.55	$83.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $42.73 / $56.51	Professional		$39.04	$42.73	$56.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $98.33 / $98.33	Facility		$33.04	$98.33	$98.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $101.19 / $191.74	Facility		$27.10	$101.19	$191.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $66.56 / $86.96	Professional		$19.78	$66.56	$86.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $34.77 / $52.84	Facility		$13.23	$34.77	$52.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $44.88 / $55.14	Professional		$26.31	$44.88	$55.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $45.95 / $214.06	Facility		$22.90	$45.95	$214.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $24.07 / $50.03	Professional		$20.07	$24.07	$50.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $55.00 / $85.00	Professional		$38.85	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $34.77 / $52.84	Facility		$13.23	$34.77	$52.84
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $44.88 / $55.14	Professional		$26.31	$44.88	$55.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $70.70 / $122.45	Professional		$45.95	$70.70	$122.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $89.74 / $214.06	Facility		$27.10	$89.74	$214.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $27.10 / $231.57	Professional		$19.78	$27.10	$231.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $45.95 / $45.95	Professional		$45.95	$45.95	$45.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $45.95 / $45.95	Professional		$36.69	$45.95	$45.95
United Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $23.91 / $50.03	Professional		$17.07	$23.91	$50.03