Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $36.50 / $36.50	Facility		$36.50	$36.50	$36.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $36.50 / $61.15	Professional		$30.31	$36.50	$61.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.36 / $79.59 / $131.69	Facility		$72.36	$79.59	$131.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $67.29 / $89.00	Professional		$62.57	$67.29	$89.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.06 / $154.85 / $154.85	Facility		$52.06	$154.85	$154.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $149.16 / $302.31	Facility		$46.82	$149.16	$302.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $105.00 / $136.94	Professional		$34.18	$105.00	$136.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $54.75 / $83.21	Facility		$20.87	$54.75	$83.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $41.43 / $70.64 / $86.83	Professional		$41.43	$70.64	$86.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $72.36 / $338.32	Facility		$36.11	$72.36	$338.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $48.35 / $78.79	Professional		$32.60	$48.35	$78.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $58.40 / $85.00	Professional		$36.56	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $54.75 / $83.21	Facility		$20.87	$54.75	$83.21
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $41.43 / $70.64 / $86.83	Professional		$41.43	$70.64	$86.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.36 / $111.36 / $193.71	Professional		$72.36	$111.36	$193.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $141.32 / $338.32	Facility		$46.82	$141.32	$338.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $46.82 / $364.44	Professional		$34.18	$46.82	$364.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.36 / $72.36 / $72.36	Professional		$72.36	$72.36	$72.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $72.36 / $72.36	Professional		$57.78	$72.36	$72.36
United Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $42.72 / $72.36	Professional		$25.31	$42.72	$72.36