Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.67 / $109.78 / $10,210.31	Facility		$46.67	$109.78	$10,210.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $47.14 / $5,784.60	Professional		$45.31	$47.14	$5,784.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.64 / $83.82 / $101.04	Facility		$56.64	$83.82	$101.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $57.54	Professional		$45.31	$45.31	$57.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.03 / $62.03 / $72.50	Facility		$62.03	$62.03	$72.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.31 / $57.70 / $138.24	Facility		$45.31	$57.70	$138.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $68.86 / $78.25	Professional		$45.98	$68.86	$78.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $47.80 / $49.74	Facility		$38.75	$47.80	$49.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $90.62 / $90.62	Professional		$22.18	$90.62	$90.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $49.74 / $243.16	Facility		$47.80	$49.74	$243.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $53.54 / $90.62	Professional		$47.80	$53.54	$90.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $65.00 / $85.00	Professional		$45.13	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $47.80 / $49.74	Facility		$38.75	$47.80	$49.74
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $90.62 / $90.62	Professional		$22.18	$90.62	$90.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $48.03 / $155.61	Professional		$45.31	$48.03	$155.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $225.65 / $225.65 / $225.65	Facility		$225.65	$225.65	$225.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $45.31	Professional		$45.31	$45.31	$45.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $47.80 / $47.80	Professional		$47.80	$47.80	$47.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $63.62 / $69.09	Professional		$52.78	$63.62	$69.09
United Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $50.75 / $63.43	Professional		$45.31	$50.75	$63.43