Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.91 / $11.91 / $11.91	Facility		$11.91	$11.91	$11.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $13.08 / $30.93	Professional		$11.52	$13.08	$30.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.51 / $20.51 / $33.84	Facility		$20.51	$20.51	$33.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $20.51 / $23.38	Professional		$19.07	$20.51	$23.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.51 / $43.89 / $43.89	Facility		$20.51	$43.89	$43.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.97 / $64.23 / $85.37	Facility		$54.97	$64.23	$85.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $29.53 / $38.81	Professional		$8.36	$29.53	$38.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $16.91 / $21.54	Facility		$11.77	$16.91	$21.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $28.59	Professional		$20.51	$20.51	$28.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.91 / $16.91 / $34.20	Facility		$11.91	$16.91	$34.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $11.30 / $28.59	Professional		$9.47	$11.30	$28.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $58.40 / $85.00	Professional		$11.94	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $16.91 / $21.54	Facility		$11.77	$16.91	$21.54
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $28.59	Professional		$20.51	$20.51	$28.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $30.77 / $54.00	Professional		$20.51	$30.77	$54.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.06 / $41.64 / $149.28	Facility		$40.06	$41.64	$149.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $90.14 / $344.54	Professional		$8.36	$90.14	$344.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $20.51	Professional		$20.51	$20.51	$20.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $48.20	Professional		$20.51	$20.51	$48.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $10.24 / $17.05	Professional		$8.61	$10.24	$17.05