Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.49 / $25.49 / $25.49	Facility		$25.49	$25.49	$25.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $25.49 / $45.85	Professional		$24.14	$25.49	$45.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.53 / $55.58 / $91.96	Facility		$50.53	$55.58	$91.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $46.99 / $62.15	Professional		$45.47	$46.99	$62.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $108.13 / $108.13	Facility		$36.36	$108.13	$108.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $111.21 / $211.33	Facility		$33.84	$111.21	$211.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $73.13 / $95.64	Professional		$24.70	$73.13	$95.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $38.24 / $58.11	Facility		$14.54	$38.24	$58.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $49.34 / $60.64	Professional		$28.94	$49.34	$60.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.18 / $50.53 / $235.40	Facility		$25.18	$50.53	$235.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $26.47 / $55.03	Professional		$22.07	$26.47	$55.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $55.00 / $85.00	Professional		$25.07	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $38.24 / $58.11	Facility		$14.54	$38.24	$58.11
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $49.34 / $60.64	Professional		$28.94	$49.34	$60.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $77.78 / $135.50	Professional		$50.53	$77.78	$135.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $98.70 / $235.40	Facility		$33.84	$98.70	$235.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $33.84 / $254.43	Professional		$24.70	$33.84	$254.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $50.53 / $50.53	Professional		$50.53	$50.53	$50.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $50.53 / $50.53	Professional		$40.36	$50.53	$50.53
United Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $25.21 / $44.81	Professional		$17.64	$25.21	$44.81