Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.29 / $44.29 / $44.29	Facility		$44.29	$44.29	$44.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $44.29 / $74.20	Professional		$36.78	$44.29	$74.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.79 / $96.57 / $159.78	Facility		$87.79	$96.57	$159.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.01 / $81.64 / $107.98	Professional		$79.01	$81.64	$107.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.15 / $187.87 / $187.87	Facility		$63.15	$187.87	$187.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $193.36 / $366.69	Facility		$69.70	$193.36	$366.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $129.06 / $166.15	Professional		$59.25	$129.06	$166.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $66.44 / $100.96	Facility		$25.26	$66.44	$100.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $85.70 / $105.35	Professional		$50.26	$85.70	$105.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.73 / $87.79 / $410.39	Facility		$43.73	$87.79	$410.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $58.66 / $95.59	Professional		$40.09	$58.66	$95.59
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 $25.26 / $66.44 / $100.96	Facility		$25.26	$66.44	$100.96
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $85.70 / $105.35	Professional		$50.26	$85.70	$105.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $135.09 / $234.87	Professional		$87.79	$135.09	$234.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $171.46 / $410.39	Facility		$69.70	$171.46	$410.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $69.70 / $442.02	Professional		$59.25	$69.70	$442.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $87.79 / $87.79	Professional		$87.79	$87.79	$87.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $87.79 / $87.79	Professional		$87.79	$87.79	$87.79
United Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $52.67 / $77.84	Professional		$32.61	$52.67	$77.84