Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.02 / $62.36 / $93.54	Facility		$32.02	$62.36	$93.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $124.76 / $9,969.29	Professional		$31.09	$124.76	$9,969.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $57.52 / $69.33	Facility		$38.86	$57.52	$69.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $39.47	Professional		$31.09	$31.09	$39.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.57 / $42.57 / $49.74	Facility		$42.57	$42.57	$49.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $39.61 / $89.60	Facility		$31.09	$39.61	$89.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $50.16 / $57.00	Professional		$31.09	$50.16	$57.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $31.18 / $70.55	Facility		$31.09	$31.18	$70.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $62.18 / $62.18	Professional		$38.74	$62.18	$62.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.18 / $70.55 / $114.06	Facility		$31.18	$70.55	$114.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $31.18 / $62.18	Professional		$31.18	$31.18	$62.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $65.00 / $85.00	Professional		$30.52	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $31.18 / $70.55	Facility		$31.09	$31.18	$70.55
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $62.18 / $62.18	Professional		$38.74	$62.18	$62.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $32.96 / $106.75	Professional		$31.09	$32.96	$106.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $31.09 / $3,272.31	Facility		$31.09	$31.09	$3,272.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $31.09	Professional		$31.09	$31.09	$31.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $121.23	Professional		$43.65	$43.65	$121.23
United Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $65.29	Professional		$31.09	$31.09	$65.29