Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.32 / $91.47 / $107.75	Facility		$48.32	$91.47	$107.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $50.76 / $80.59	Professional		$49.28	$50.76	$80.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $61.60 / $61.60	Facility		$61.60	$61.60	$61.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $62.58	Professional		$49.28	$49.28	$62.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.47 / $67.47 / $78.84	Facility		$67.47	$67.47	$78.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $93.82 / $134.11	Facility		$49.28	$93.82	$134.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.13 / $55.76 / $63.36	Professional		$43.13	$55.76	$63.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $46.91 / $49.28	Facility		$7.08	$46.91	$49.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $98.56 / $98.56	Professional		$4.26	$98.56	$98.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $46.91 / $46.91	Facility		$7.08	$46.91	$46.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $46.91 / $98.51	Professional		$46.91	$46.91	$98.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.32 / $65.00 / $85.00	Professional		$42.32	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $46.91 / $49.28	Facility		$7.08	$46.91	$49.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $98.56 / $98.56	Professional		$4.26	$98.56	$98.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $49.28 / $119.00	Professional		$42.80	$49.28	$119.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $170.63 / $170.63 / $170.63	Facility		$170.63	$170.63	$170.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $69.19 / $69.19	Professional		$27.43	$69.19	$69.19
United Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $64.06	Professional		$49.28	$49.28	$64.06