Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $333.37	Facility		$39.86	$39.86	$333.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $39.86 / $56.94	Professional		$31.34	$39.86	$56.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.02 / $86.92 / $143.82	Facility		$79.02	$86.92	$143.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $73.48 / $97.19	Professional		$68.34	$73.48	$97.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $169.10 / $169.10	Facility		$56.85	$169.10	$169.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $163.22 / $330.30	Facility		$46.70	$163.22	$330.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $114.38 / $149.55	Professional		$34.09	$114.38	$149.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $59.39 / $90.87	Facility		$21.06	$59.39	$90.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $45.24 / $79.02 / $94.82	Professional		$45.24	$79.02	$94.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.45 / $79.02 / $352.17	Facility		$36.45	$79.02	$352.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $39.42 / $86.04	Professional		$31.48	$39.42	$86.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.16 / $55.00 / $85.00	Professional		$40.16	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $59.79 / $90.87	Facility		$21.06	$59.79	$90.87
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $45.24 / $79.02 / $94.82	Professional		$45.24	$79.02	$94.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $118.53 / $195.72	Professional		$79.02	$118.53	$195.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $154.34 / $352.17	Facility		$46.70	$154.34	$352.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $46.70 / $425.75	Professional		$34.09	$46.70	$425.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $79.02 / $79.02	Professional		$79.02	$79.02	$79.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.02 / $79.02	Professional		$63.10	$79.02	$79.02
United Facility/Professional Facility Modifier Low / Median / High Price $104.62 / $104.62 / $104.62	Facility		$104.62	$104.62	$104.62
United Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $39.42 / $81.56	Professional		$27.19	$39.42	$81.56