Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $32.47 / $32.47	Facility		$32.47	$32.47	$32.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $32.47 / $58.37	Professional		$30.73	$32.47	$58.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.37 / $70.81 / $117.15	Facility		$64.37	$70.81	$117.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $59.86 / $79.17	Professional		$55.66	$59.86	$79.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $137.75 / $137.75	Facility		$46.31	$137.75	$137.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $142.27 / $268.72	Facility		$38.36	$142.27	$268.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $93.28 / $121.83	Professional		$28.00	$93.28	$121.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $48.71 / $74.03	Facility		$18.52	$48.71	$74.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $62.81 / $77.23	Professional		$36.85	$62.81	$77.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.06 / $64.37 / $299.70	Facility		$32.06	$64.37	$299.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $33.72 / $70.09	Professional		$28.10	$33.72	$70.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $58.40 / $85.00	Professional		$19.89	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $48.71 / $74.03	Facility		$18.52	$48.71	$74.03
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $62.81 / $77.23	Professional		$36.85	$62.81	$77.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $99.06 / $171.63	Professional		$64.37	$99.06	$171.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $125.72 / $299.70	Facility		$38.36	$125.72	$299.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $38.36 / $324.00	Professional		$28.00	$38.36	$324.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $64.37 / $64.37	Professional		$64.37	$64.37	$64.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $64.37 / $64.37	Professional		$64.37	$64.37	$64.37
United Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $32.11 / $61.55	Professional		$22.46	$32.11	$61.55