Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $257.35 / $1,565.15	Facility		$30.91	$257.35	$1,565.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $173.74 / $476.63	Professional		$30.01	$173.74	$476.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $55.52 / $66.92	Facility		$37.51	$55.52	$66.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $38.11	Professional		$30.01	$30.01	$38.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.08 / $41.08 / $48.02	Facility		$41.08	$41.08	$48.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $59.15 / $84.55	Facility		$30.01	$59.15	$84.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $33.89 / $38.51	Professional		$28.31	$33.89	$38.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $29.30 / $66.28	Facility		$12.59	$29.30	$66.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $60.02 / $60.02	Professional		$43.95	$60.02	$60.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $31.00 / $64.87	Facility		$29.30	$31.00	$64.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $29.30 / $60.02	Professional		$29.30	$29.30	$60.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $65.00 / $85.00	Professional		$26.98	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $29.30 / $66.28	Facility		$12.59	$29.30	$66.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $60.02 / $60.02	Professional		$43.95	$60.02	$60.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.86 / $30.01 / $83.00	Professional		$29.86	$30.01	$83.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $42.13 / $42.13	Professional		$17.32	$42.13	$42.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $39.11	Professional		$30.01	$30.01	$39.11