Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.58 / $35.58 / $35.58	Facility		$35.58	$35.58	$35.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $35.58 / $63.29	Professional		$33.65	$35.58	$63.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $77.58 / $128.36	Facility		$70.53	$77.58	$128.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $65.59 / $86.75	Professional		$63.47	$65.59	$86.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $150.93 / $150.93	Facility		$50.74	$150.93	$150.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $155.29 / $293.91	Facility		$39.35	$155.29	$293.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $102.19 / $133.49	Professional		$28.73	$102.19	$133.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $53.37 / $81.11	Facility		$20.28	$53.37	$81.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $68.78 / $84.64	Professional		$40.38	$68.78	$84.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $70.53 / $328.21	Facility		$35.11	$70.53	$328.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $36.94 / $76.80	Professional		$30.77	$36.94	$76.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $58.40 / $85.00	Professional		$18.19	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $53.37 / $81.11	Facility		$20.28	$53.37	$81.11
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $68.78 / $84.64	Professional		$40.38	$68.78	$84.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $108.54 / $188.70	Professional		$70.53	$108.54	$188.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $137.76 / $328.21	Facility		$39.35	$137.76	$328.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $39.35 / $354.92	Professional		$28.73	$39.35	$354.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $70.53 / $70.53	Professional		$70.53	$70.53	$70.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $70.53 / $70.53	Professional		$70.53	$70.53	$70.53
United Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $36.32 / $67.44	Professional		$26.18	$36.32	$67.44