Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.02 / $31.10 / $15,052.44	Facility		$16.02	$31.10	$15,052.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $16.07 / $40.32	Professional		$15.61	$16.07	$40.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.51 / $28.88 / $34.81	Facility		$19.51	$28.88	$34.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $19.82	Professional		$15.61	$15.61	$19.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $21.37 / $24.98	Facility		$21.37	$21.37	$24.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $37.88 / $54.15	Facility		$15.61	$37.88	$54.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $23.85 / $27.10	Professional		$15.86	$23.85	$27.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.55 / $34.21	Facility		$12.59	$15.55	$34.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $31.22 / $31.22	Professional		$23.33	$31.22	$31.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $15.55 / $34.21	Facility		$14.82	$15.55	$34.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $15.55 / $31.22	Professional		$15.55	$15.55	$31.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $65.00 / $85.00	Professional		$15.57	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.55 / $34.21	Facility		$12.59	$15.55	$34.21
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $31.22 / $31.22	Professional		$23.33	$31.22	$31.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $24.13 / $48.00	Professional		$15.61	$24.13	$48.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Professional		$15.61	$15.61	$15.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $21.92 / $23.20	Professional		$16.94	$21.92	$23.20
United Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $23.42	Professional		$15.61	$15.61	$23.42