Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.08 / $51.08 / $51.08	Facility		$51.08	$51.08	$51.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $51.08 / $98.27	Professional		$48.70	$51.08	$98.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.25 / $111.38 / $184.28	Facility		$101.25	$111.38	$184.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $94.16 / $124.53	Professional		$87.56	$94.16	$124.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.84 / $216.68 / $216.68	Facility		$72.84	$216.68	$216.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $209.19 / $422.67	Facility		$66.22	$209.19	$422.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $146.72 / $191.61	Professional		$48.34	$146.72	$191.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $76.62 / $116.44	Facility		$32.61	$76.62	$116.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $101.25 / $135.00	Professional		$57.97	$101.25	$135.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.08 / $100.68 / $551.54	Facility		$51.08	$100.68	$551.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.08 / $67.65 / $114.31	Professional		$47.08	$67.65	$114.31
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 $32.61 / $76.62 / $116.44	Facility		$32.61	$76.62	$116.44
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $101.25 / $135.00	Professional		$57.97	$101.25	$135.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $155.83 / $303.12	Professional		$101.25	$155.83	$303.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $197.74 / $551.54	Facility		$66.22	$197.74	$551.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $66.22 / $1,051.10	Professional		$48.34	$66.22	$1,051.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $101.25 / $101.25	Professional		$101.25	$101.25	$101.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $101.25 / $101.25	Professional		$101.25	$101.25	$101.25
United Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $66.73 / $86.84	Professional		$40.34	$66.73	$86.84