Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.94 / $100.86 / $13,169.35	Facility		$51.94	$100.86	$13,169.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $69.68 / $8,112.00	Professional		$50.74	$69.68	$8,112.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $93.87 / $113.15	Facility		$63.43	$93.87	$113.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $64.43	Professional		$50.74	$50.74	$64.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.45 / $69.45 / $81.18	Facility		$69.45	$69.45	$81.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $64.64 / $135.16	Facility		$50.74	$64.64	$135.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $75.31 / $85.59	Professional		$50.39	$75.31	$85.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $50.43 / $50.74	Facility		$37.09	$50.43	$50.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $101.48 / $101.48	Professional		$75.65	$101.48	$101.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $50.43 / $50.43	Facility		$37.09	$50.43	$50.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $56.48 / $101.48	Professional		$50.43	$56.48	$101.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.18 / $65.00 / $85.00	Professional		$49.18	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $50.43 / $50.74	Facility		$37.09	$50.43	$50.74
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $101.48 / $101.48	Professional		$75.65	$101.48	$101.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $53.78 / $164.25	Professional		$50.74	$53.78	$164.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $245.90 / $245.90 / $245.90	Facility		$245.90	$245.90	$245.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $50.74	Professional		$50.74	$50.74	$50.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $50.43 / $50.43	Professional		$50.43	$50.43	$50.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $71.23 / $73.28	Professional		$50.40	$71.23	$73.28
United Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $56.83 / $76.11	Professional		$50.74	$56.83	$76.11