Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $20.88 / $20.88	Facility		$20.88	$20.88	$20.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $20.88 / $37.14	Professional		$19.73	$20.88	$37.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.39 / $45.53 / $75.33	Facility		$41.39	$45.53	$75.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $38.49 / $50.90	Professional		$35.79	$38.49	$50.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.78 / $88.57 / $88.57	Facility		$29.78	$88.57	$88.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $91.17 / $172.15	Facility		$23.09	$91.17	$172.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $60.00 / $78.34	Professional		$16.86	$60.00	$78.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $31.11 / $47.60	Facility		$11.90	$31.11	$47.60
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $40.35 / $49.67	Professional		$23.70	$40.35	$49.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $41.39 / $192.63	Facility		$20.60	$41.39	$192.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $21.68 / $45.07	Professional		$18.05	$21.68	$45.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $55.00 / $85.00	Professional		$14.26	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $31.32 / $47.60	Facility		$11.90	$31.32	$47.60
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $40.35 / $49.67	Professional		$23.70	$40.35	$49.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $63.70 / $110.41	Professional		$41.39	$63.70	$110.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $80.84 / $192.63	Facility		$23.09	$80.84	$192.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $23.09 / $208.46	Professional		$16.86	$23.09	$208.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $41.39 / $41.39	Professional		$41.39	$41.39	$41.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $41.39 / $41.39	Professional		$33.04	$41.39	$41.39
United Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $20.65 / $40.06	Professional		$14.43	$20.65	$40.06