Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.50 / $35.50 / $35.50	Facility		$35.50	$35.50	$35.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $36.68 / $79.51	Professional		$34.34	$36.68	$79.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.14 / $61.14 / $100.88	Facility		$61.14	$61.14	$100.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $61.14 / $69.69	Professional		$56.86	$61.14	$69.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.14 / $130.84 / $130.84	Facility		$61.14	$130.84	$130.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.00 / $191.65 / $254.72	Facility		$164.00	$191.65	$254.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $88.59 / $115.71	Professional		$24.95	$88.59	$115.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.08 / $50.39 / $63.90	Facility		$35.08	$50.39	$63.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $60.39 / $60.39 / $61.14	Professional		$60.39	$60.39	$61.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.50 / $50.39 / $72.17	Facility		$35.50	$50.39	$72.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $34.57 / $203.46	Professional		$28.20	$34.57	$203.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $65.00 / $85.00	Professional		$35.51	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $35.08 / $50.39 / $63.90	Facility		$35.08	$50.39	$63.90
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $60.39 / $60.39 / $61.14	Professional		$60.39	$60.39	$61.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $91.71 / $161.00	Professional		$61.14	$91.71	$161.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $119.42 / $124.11 / $314.30	Facility		$119.42	$124.11	$314.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $268.70 / $724.41	Professional		$24.95	$268.70	$724.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $61.14 / $61.14	Professional		$61.14	$61.14	$61.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $61.14 / $61.14	Professional		$61.14	$61.14	$61.14
United Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $30.50 / $50.84	Professional		$21.61	$30.50	$50.84