Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.52 / $50.52 / $50.52	Facility		$50.52	$50.52	$50.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $51.75 / $83.70	Professional		$44.07	$51.75	$83.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.16 / $110.18 / $182.29	Facility		$100.16	$110.18	$182.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $93.15 / $123.19	Professional		$90.14	$93.15	$123.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.05 / $214.34 / $214.34	Facility		$72.05	$214.34	$214.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $221.41 / $418.47	Facility		$53.85	$221.41	$418.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $145.31 / $189.55	Professional		$53.85	$145.31	$189.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $75.78 / $115.18	Facility		$27.76	$75.78	$115.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $100.16 / $120.19	Professional		$57.34	$100.16	$120.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.34 / $105.17 / $456.49	Facility		$49.34	$105.17	$456.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $51.24 / $109.06	Professional		$42.61	$51.24	$109.06
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 $27.76 / $75.78 / $115.18	Facility		$27.76	$75.78	$115.18
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $100.16 / $120.19	Professional		$57.34	$100.16	$120.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $154.12 / $257.95	Professional		$100.16	$154.12	$257.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $195.62 / $456.49	Facility		$53.85	$195.62	$456.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $53.85 / $551.57	Professional		$39.31	$53.85	$551.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $100.16 / $100.16	Professional		$100.16	$100.16	$100.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $100.16 / $100.16	Professional		$100.16	$100.16	$100.16
United Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $49.96 / $88.80	Professional		$35.83	$49.96	$88.80