Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $40.35 / $40.35	Facility		$40.35	$40.35	$40.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $40.35 / $73.62	Professional		$36.49	$40.35	$73.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $87.99 / $145.58	Facility		$79.98	$87.99	$145.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $74.39 / $98.38	Professional		$71.98	$74.39	$98.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.55 / $171.18 / $171.18	Facility		$57.55	$171.18	$171.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $165.11 / $334.50	Facility		$51.74	$165.11	$334.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $133.22 / $151.40	Professional		$37.77	$133.22	$151.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $60.53 / $91.99	Facility		$25.76	$60.53	$91.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $79.98 / $106.66	Professional		$45.80	$79.98	$106.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $79.98 / $426.39	Facility		$40.35	$79.98	$426.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $53.45 / $90.32	Professional		$37.19	$53.45	$90.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.00 / $85.00	Professional		$22.06	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $61.74 / $91.99	Facility		$25.76	$61.74	$91.99
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $79.98 / $106.66	Professional		$45.80	$79.98	$106.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $123.11 / $239.88	Professional		$79.98	$123.11	$239.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $156.24 / $426.39	Facility		$51.74	$156.24	$426.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $51.74 / $743.72	Professional		$37.77	$51.74	$743.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $79.98 / $79.98	Professional		$79.98	$79.98	$79.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $79.98 / $79.98	Professional		$63.88	$79.98	$79.98
United Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $53.21 / $70.92	Professional		$31.87	$53.21	$70.92