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 / $53.96 / $69.78	Professional		$44.07	$53.96	$69.78
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 / $211.38 / $418.47	Facility		$53.85	$211.38	$418.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $145.31 / $189.55	Professional		$39.31	$145.31	$189.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.82 / $75.78 / $115.18	Facility		$37.82	$75.78	$115.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $114.91 / $120.19	Professional		$100.16	$114.91	$120.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.52 / $100.16 / $456.49	Facility		$50.52	$100.16	$456.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.84 / $52.16 / $113.57	Professional		$43.84	$52.16	$113.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $55.00 / $85.00	Professional		$43.86	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $50.52 / $75.78 / $115.18	Facility		$50.52	$75.78	$115.18
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $114.91 / $120.19	Professional		$100.16	$114.91	$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 / $50.16 / $100.16	Professional		$35.83	$50.16	$100.16