Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.34 / $36.34 / $36.34	Facility		$36.34	$36.34	$36.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $36.34 / $65.11	Professional		$28.33	$36.34	$65.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.03 / $79.23 / $131.09	Facility		$72.03	$79.23	$131.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $66.98 / $88.59	Professional		$66.98	$66.98	$88.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.82 / $154.13 / $154.13	Facility		$51.82	$154.13	$154.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $159.30 / $300.91	Facility		$36.61	$159.30	$300.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $104.53 / $136.33	Professional		$26.73	$104.53	$136.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $54.51 / $82.83	Facility		$17.53	$54.51	$82.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $70.31 / $86.44	Professional		$41.24	$70.31	$86.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.16 / $75.63 / $286.64	Facility		$31.16	$75.63	$286.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $35.93 / $78.43	Professional		$27.15	$35.93	$78.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $55.00 / $85.00	Professional		$27.46	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $54.51 / $82.83	Facility		$17.53	$54.51	$82.83
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $70.31 / $86.44	Professional		$41.24	$70.31	$86.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.03 / $108.05 / $162.60	Professional		$72.03	$108.05	$162.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $140.68 / $286.64	Facility		$36.61	$140.68	$286.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $36.61 / $338.63	Professional		$26.73	$36.61	$338.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.03 / $72.03 / $72.03	Professional		$72.03	$72.03	$72.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $72.03 / $72.03	Professional		$57.51	$72.03	$72.03
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $35.93 / $67.88	Professional		$23.96	$35.93	$67.88