Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Facility		$25.50	$25.50	$25.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $25.50 / $42.74	Professional		$21.18	$25.50	$42.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.54 / $55.59 / $91.98	Facility		$50.54	$55.59	$91.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $70.50	Professional		$47.00	$47.00	$70.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $108.16 / $108.16	Facility		$36.36	$108.16	$108.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.14 / $111.21 / $211.33	Facility		$40.14	$111.21	$211.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $74.30 / $95.66	Professional		$34.11	$74.30	$95.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $38.25 / $58.12	Facility		$14.55	$38.25	$58.12
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $49.35 / $60.65	Professional		$28.95	$49.35	$60.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.18 / $50.54 / $235.45	Facility		$25.18	$50.54	$235.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $33.79 / $55.04	Professional		$22.83	$33.79	$55.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $55.00 / $85.00	Professional		$32.93	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $38.25 / $58.12	Facility		$14.55	$38.25	$58.12
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $49.35 / $60.65	Professional		$28.95	$49.35	$60.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $77.79 / $135.50	Professional		$50.54	$77.79	$135.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.14 / $98.72 / $235.45	Facility		$40.14	$98.72	$235.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $40.14 / $254.53	Professional		$34.11	$40.14	$254.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $50.54 / $50.54	Professional		$50.54	$50.54	$50.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $50.54 / $50.54	Professional		$50.54	$50.54	$50.54
United Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $30.05 / $44.81	Professional		$18.78	$30.05	$44.81