Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Facility		$58.28	$58.28	$58.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $59.38 / $96.10	Professional		$50.32	$59.38	$96.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.53 / $127.08 / $210.26	Facility		$115.53	$127.08	$210.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.91 / $107.44 / $142.10	Professional		$99.91	$107.44	$142.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.11 / $247.23 / $247.23	Facility		$83.11	$247.23	$247.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $239.22 / $482.85	Facility		$66.37	$239.22	$482.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $167.34 / $218.65	Professional		$48.45	$167.34	$218.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $86.84 / $132.86	Facility		$33.67	$86.84	$132.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $115.53 / $139.40	Professional		$66.15	$115.53	$139.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $115.53 / $557.39	Facility		$58.28	$115.53	$557.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $62.04 / $130.40	Professional		$48.22	$62.04	$130.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $87.42 / $132.86	Facility		$33.67	$87.42	$132.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $115.53 / $139.40	Professional		$66.15	$115.53	$139.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $115.53 / $177.80 / $313.14	Professional		$115.53	$177.80	$313.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $225.64 / $557.39	Facility		$66.37	$225.64	$557.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $66.37 / $694.67	Professional		$48.45	$66.37	$694.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $115.53 / $115.53 / $115.53	Professional		$115.53	$115.53	$115.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $115.53 / $115.53	Professional		$92.25	$115.53	$115.53
United Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $57.90 / $110.47	Professional		$43.47	$57.90	$110.47