Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.71 / $22.71 / $54.70	Facility		$22.71	$22.71	$54.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $22.71 / $34.01	Professional		$17.91	$22.71	$34.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.02 / $49.52 / $81.94	Facility		$45.02	$49.52	$81.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $41.87 / $55.37	Professional		$41.87	$41.87	$55.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.39 / $96.34 / $96.34	Facility		$32.39	$96.34	$96.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $92.87 / $187.54	Facility		$29.97	$92.87	$187.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $74.98 / $85.20	Professional		$21.88	$74.98	$85.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $34.07 / $51.77	Facility		$11.61	$34.07	$51.77
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $42.01 / $54.02	Professional		$25.78	$42.01	$54.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $45.02 / $196.70	Facility		$20.10	$45.02	$196.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $22.46 / $49.02	Professional		$17.82	$22.46	$49.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $55.00 / $85.00	Professional		$21.49	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $34.07 / $51.77	Facility		$11.61	$34.07	$51.77
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $42.01 / $54.02	Professional		$25.78	$42.01	$54.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $68.64 / $108.40	Professional		$45.02	$68.64	$108.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $87.92 / $196.70	Facility		$29.97	$87.92	$196.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.97 / $232.65	Professional		$21.88	$29.97	$232.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $45.02 / $45.02	Professional		$45.02	$45.02	$45.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $45.02 / $45.02	Professional		$35.96	$45.02	$45.02
United Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $22.46 / $45.02	Professional		$14.99	$22.46	$45.02