Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.43 / $88.98 / $9,346.48	Facility		$45.43	$88.98	$9,346.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $45.89 / $4,413.83	Professional		$44.10	$45.89	$4,413.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.14 / $81.59 / $98.37	Facility		$55.14	$81.59	$98.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $56.01	Professional		$44.11	$44.11	$56.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.39 / $60.39 / $70.58	Facility		$60.39	$60.39	$70.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $56.16 / $120.83	Facility		$44.11	$56.16	$120.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $67.31 / $76.48	Professional		$44.18	$67.31	$76.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.87 / $44.49 / $47.36	Facility		$21.87	$44.49	$47.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $88.22 / $88.22	Professional		$13.10	$88.22	$88.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.87 / $44.49 / $117.23	Facility		$21.87	$44.49	$117.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $44.49 / $88.22	Professional		$44.49	$44.49	$88.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $65.00 / $85.00	Professional		$43.38	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.87 / $44.49 / $47.36	Facility		$21.87	$44.49	$47.36
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $88.22 / $88.22	Professional		$13.10	$88.22	$88.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $46.76 / $145.88	Professional		$44.11	$46.76	$145.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $290.50 / $290.50 / $290.50	Facility		$290.50	$290.50	$290.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Professional		$44.11	$44.11	$44.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $61.93 / $84.59	Professional		$61.93	$61.93	$84.59
United Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $92.63	Professional		$44.11	$44.11	$92.63