Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $35.29 / $41.59	Facility		$18.62	$35.29	$41.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.80 / $6,516.00	Professional		$18.07	$18.80	$6,516.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $33.45 / $40.32	Facility		$22.60	$33.45	$40.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $22.96	Professional		$18.07	$18.07	$22.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.75 / $24.75 / $28.93	Facility		$24.75	$24.75	$28.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $23.01 / $48.13	Facility		$18.07	$23.01	$48.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $26.80 / $30.45	Professional		$18.07	$26.80	$30.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $18.10 / $39.93	Facility		$18.07	$18.10	$39.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $36.15 / $36.15	Professional		$27.15	$36.15	$36.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $18.10 / $40.64	Facility		$18.10	$18.10	$40.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $18.10 / $36.15	Professional		$18.10	$18.10	$36.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $85.00	Professional		$17.78	$17.78	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $18.10 / $39.93	Facility		$18.07	$18.10	$39.93
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $36.15 / $36.15	Professional		$27.15	$36.15	$36.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $27.55 / $59.43	Professional		$18.07	$27.55	$59.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $88.90 / $88.90 / $88.90	Facility		$88.90	$88.90	$88.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $18.07	Professional		$18.07	$18.07	$18.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $25.38 / $25.38	Professional		$25.38	$25.38	$25.38
United Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $23.50	Professional		$18.07	$18.07	$23.50