Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.39 / $28.39 / $28.39	Facility		$28.39	$28.39	$28.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $28.39 / $52.90	Professional		$26.22	$28.39	$52.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.27 / $61.90 / $102.41	Facility		$56.27	$61.90	$102.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $52.33 / $69.20	Professional		$52.33	$52.33	$69.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $120.42 / $120.42	Facility		$40.47	$120.42	$120.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $116.30 / $235.13	Facility		$34.77	$116.30	$235.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $93.71 / $106.49	Professional		$25.38	$93.71	$106.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $42.59 / $64.70	Facility		$16.17	$42.59	$64.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $56.27 / $67.52	Professional		$32.22	$56.27	$67.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.98 / $56.27 / $268.63	Facility		$27.98	$56.27	$268.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $37.60 / $62.61	Professional		$25.35	$37.60	$62.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $55.00 / $85.00	Professional		$17.30	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $42.59 / $64.70	Facility		$16.17	$42.59	$64.70
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $56.27 / $67.52	Professional		$32.22	$56.27	$67.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.27 / $86.61 / $150.56	Professional		$56.27	$86.61	$150.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $109.90 / $268.63	Facility		$34.77	$109.90	$268.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $34.77 / $398.48	Professional		$25.38	$34.77	$398.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.27 / $56.27 / $56.27	Professional		$56.27	$56.27	$56.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $56.27 / $56.27	Professional		$44.93	$56.27	$56.27
United Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $33.39 / $56.27	Professional		$22.42	$33.39	$56.27