Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $64.18 / $1,595.56	Facility		$33.04	$64.18	$1,595.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $64.95 / $96.27	Professional		$63.06	$64.95	$96.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.83 / $116.66 / $140.62	Facility		$78.83	$116.66	$140.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $80.08	Professional		$63.06	$63.06	$80.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.34 / $86.34 / $100.90	Facility		$86.34	$86.34	$100.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $212.39 / $303.58	Facility		$63.06	$212.39	$303.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.46 / $168.45 / $191.43	Professional		$82.46	$168.45	$191.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $32.09 / $203.03	Facility		$32.09	$32.09	$203.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $126.12 / $126.12	Professional		$48.14	$126.12	$126.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.08 / $32.09 / $203.03	Facility		$32.08	$32.09	$203.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $35.72 / $126.12	Professional		$32.09	$35.72	$126.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $80.95 / $85.00	Professional		$65.00	$80.95	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $32.09 / $203.03	Facility		$32.09	$32.09	$203.03
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $126.12 / $126.12	Professional		$48.14	$126.12	$126.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $98.16 / $283.89	Professional		$63.06	$98.16	$283.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $63.06 / $999.65	Facility		$63.06	$63.06	$999.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Professional		$63.06	$63.06	$63.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $349.49	Professional		$88.54	$88.54	$349.49
United Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $70.20 / $94.59	Professional		$63.06	$70.20	$94.59