Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.69 / $112.02 / $11,992.58	Facility		$57.69	$112.02	$11,992.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $58.33 / $6,035.70	Professional		$56.07	$58.33	$6,035.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $103.73 / $125.04	Facility		$70.09	$103.73	$125.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $71.20	Professional		$56.07	$56.07	$71.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.76 / $76.76 / $89.71	Facility		$76.76	$76.76	$89.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $71.39 / $150.63	Facility		$56.07	$71.39	$150.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $81.09 / $92.16	Professional		$56.07	$81.09	$92.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $56.01 / $123.32	Facility		$40.74	$56.01	$123.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $84.02 / $112.14 / $112.14	Professional		$84.02	$112.14	$112.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $56.01 / $123.32	Facility		$40.74	$56.01	$123.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $56.01 / $112.14	Professional		$56.01	$56.01	$112.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.97 / $65.00 / $85.00	Professional		$54.97	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $56.01 / $123.32	Facility		$40.74	$56.01	$123.32
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $84.02 / $112.14 / $112.14	Professional		$84.02	$112.14	$112.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.06 / $59.43 / $183.70	Professional		$56.06	$59.43	$183.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $274.85 / $274.85 / $274.85	Facility		$274.85	$274.85	$274.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $56.07	Professional		$56.07	$56.07	$56.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $78.72 / $81.65	Professional		$55.20	$78.72	$81.65
United Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $78.50	Professional		$56.07	$56.07	$78.50