Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.37 / $51.37 / $51.37	Facility		$51.37	$51.37	$51.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $51.37 / $96.13	Professional		$50.62	$51.37	$96.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $112.02 / $185.35	Facility		$101.84	$112.02	$185.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $94.71 / $125.26	Professional		$94.71	$94.71	$125.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.25 / $217.94 / $217.94	Facility		$73.25	$217.94	$217.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $210.13 / $425.47	Facility		$66.72	$210.13	$425.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $147.66 / $192.74	Professional		$48.71	$147.66	$192.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $77.06 / $117.12	Facility		$32.76	$77.06	$117.12
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $101.84 / $124.01	Professional		$58.30	$101.84	$124.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.37 / $106.93 / $538.29	Facility		$51.37	$106.93	$538.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $60.38 / $114.96	Professional		$46.09	$60.38	$114.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.12 / $55.00 / $85.00	Professional		$39.12	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $77.06 / $117.12	Facility		$32.76	$77.06	$117.12
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $101.84 / $124.01	Professional		$58.30	$101.84	$124.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $156.69 / $304.12	Professional		$101.84	$156.69	$304.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $198.90 / $538.29	Facility		$66.72	$198.90	$538.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $670.92	Professional		$48.71	$66.72	$670.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $101.84 / $101.84	Professional		$101.84	$101.84	$101.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $101.84 / $101.84	Professional		$101.84	$101.84	$101.84
United Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $61.98 / $61.98	Facility		$61.98	$61.98	$61.98
United Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $56.35 / $97.37	Professional		$40.57	$56.35	$97.37