Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.36 / $47.26 / $21,811.99	Facility		$24.36	$47.26	$21,811.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $24.36 / $47.26	Professional		$23.65	$24.36	$47.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.56 / $43.75 / $52.74	Facility		$29.56	$43.75	$52.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $30.03	Professional		$23.65	$23.65	$30.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.38 / $32.38 / $37.84	Facility		$32.38	$32.38	$37.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $55.58 / $79.44	Facility		$23.65	$55.58	$79.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $35.24 / $40.04	Professional		$23.65	$35.24	$40.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $23.63 / $52.03	Facility		$23.63	$23.63	$52.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $47.30 / $47.30	Professional		$35.45	$47.30	$47.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $23.63 / $52.03	Facility		$23.63	$23.63	$52.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.63 / $47.30	Professional		$23.63	$23.63	$47.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $23.13 / $85.00	Professional		$23.13	$23.13	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $23.63 / $52.03	Facility		$23.63	$23.63	$52.03
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $47.30 / $47.30	Professional		$35.45	$47.30	$47.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $35.85 / $77.80	Professional		$23.65	$35.85	$77.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $115.65 / $115.65 / $115.65	Facility		$115.65	$115.65	$115.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $33.20 / $33.20	Professional		$33.20	$33.20	$33.20
United Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $32.38	Professional		$23.65	$23.65	$32.38