Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.43 / $53.43 / $513.36	Facility		$53.43	$53.43	$513.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $59.92 / $160.29	Professional		$45.54	$59.92	$160.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.92 / $116.51 / $192.77	Facility		$105.92	$116.51	$192.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.61 / $98.51 / $130.28	Professional		$91.61	$98.51	$130.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $226.67 / $226.67	Facility		$76.20	$226.67	$226.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $218.57 / $442.26	Facility		$59.92	$218.57	$442.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.16 / $153.28 / $200.46	Professional		$58.16	$153.28	$200.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $79.61 / $121.81	Facility		$21.25	$79.61	$121.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $95.90 / $127.10	Professional		$60.65	$95.90	$127.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $105.92 / $474.60	Facility		$30.89	$105.92	$474.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $52.84 / $115.34	Professional		$31.89	$52.84	$115.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $58.40 / $85.00	Professional		$27.76	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $26.77 / $80.15 / $121.81	Facility		$26.77	$80.15	$121.81
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $95.90 / $127.10	Professional		$60.65	$95.90	$127.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $105.92 / $163.01 / $287.06	Professional		$105.92	$163.01	$287.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $206.88 / $474.60	Facility		$59.92	$206.88	$474.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $59.92 / $521.73	Professional		$43.74	$59.92	$521.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $105.92 / $105.92 / $105.92	Professional		$105.92	$105.92	$105.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $84.58 / $105.92 / $105.92	Professional		$84.58	$105.92	$105.92
United Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $52.84 / $90.84	Professional		$36.86	$52.84	$90.84