Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.24 / $33.24 / $33.24	Facility		$33.24	$33.24	$33.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $33.24 / $59.73	Professional		$31.45	$33.24	$59.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.89 / $72.48 / $119.92	Facility		$65.89	$72.48	$119.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $61.28 / $81.04	Professional		$59.30	$61.28	$81.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.40 / $141.00 / $141.00	Facility		$47.40	$141.00	$141.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $145.27 / $275.70	Facility		$36.78	$145.27	$275.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $109.75 / $124.71	Professional		$26.85	$109.75	$124.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $49.86 / $75.77	Facility		$18.96	$49.86	$75.77
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $64.33 / $79.06	Professional		$37.72	$64.33	$79.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.82 / $65.89 / $306.82	Facility		$32.82	$65.89	$306.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $34.52 / $71.75	Professional		$28.76	$34.52	$71.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $58.40 / $85.00	Professional		$39.68	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $49.86 / $75.77	Facility		$18.96	$49.86	$75.77
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $64.33 / $79.06	Professional		$37.72	$64.33	$79.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.89 / $101.40 / $176.65	Professional		$65.89	$101.40	$176.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $128.69 / $306.82	Facility		$36.78	$128.69	$306.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $36.78 / $331.67	Professional		$26.85	$36.78	$331.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.89 / $65.89 / $65.89	Professional		$65.89	$65.89	$65.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $65.89 / $65.89	Professional		$52.62	$65.89	$65.89
United Facility/Professional Facility Modifier Low / Median / High Price $94.18 / $94.18 / $94.18	Facility		$94.18	$94.18	$94.18
United Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $32.86 / $63.01	Professional		$22.99	$32.86	$63.01