Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.14 / $64.14 / $64.14	Facility		$64.14	$64.14	$64.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $64.14 / $114.18	Professional		$60.71	$64.14	$114.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.15 / $139.87 / $231.41	Facility		$127.15	$139.87	$231.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.97 / $118.25 / $156.38	Professional		$109.97	$118.25	$156.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.46 / $272.10 / $272.10	Facility		$91.46	$272.10	$272.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $280.51 / $530.42	Facility		$70.98	$280.51	$530.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $184.22 / $240.64	Professional		$51.82	$184.22	$240.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $96.21 / $146.22	Facility		$36.59	$96.21	$146.22
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $124.16 / $152.58	Professional		$72.81	$124.16	$152.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.34 / $127.15 / $592.25	Facility		$63.34	$127.15	$592.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $66.59 / $138.44	Professional		$55.52	$66.59	$138.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $96.21 / $146.22	Facility		$36.59	$96.21	$146.22
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $124.16 / $152.58	Professional		$72.81	$124.16	$152.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $127.15 / $195.67 / $340.25	Professional		$127.15	$195.67	$340.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $248.34 / $592.25	Facility		$70.98	$248.34	$592.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $70.98 / $640.13	Professional		$51.82	$70.98	$640.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $127.15 / $127.15 / $127.15	Professional		$127.15	$127.15	$127.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $127.15 / $127.15	Professional		$101.53	$127.15	$127.15
United Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $63.43 / $121.18	Professional		$44.38	$63.43	$121.18