Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $36.06 / $990.05	Facility		$18.64	$36.06	$990.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $24.87 / $725.98	Professional		$18.11	$24.87	$725.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $33.50 / $40.39	Facility		$22.64	$33.50	$40.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $22.99	Professional		$18.11	$18.11	$22.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.79 / $24.79 / $28.98	Facility		$24.79	$24.79	$28.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $42.89 / $61.31	Facility		$18.11	$42.89	$61.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $27.02 / $30.70	Professional		$18.07	$27.02	$30.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $18.03 / $39.93	Facility		$12.59	$18.03	$39.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $36.22 / $36.22	Professional		$27.05	$36.22	$36.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $32.09 / $48.64	Facility		$18.03	$32.09	$48.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $18.03 / $36.22	Professional		$18.03	$18.03	$36.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $65.00 / $85.00	Professional		$17.23	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $18.03 / $39.93	Facility		$12.59	$18.03	$39.93
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $36.22 / $36.22	Professional		$27.05	$36.22	$36.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $23.03 / $54.00	Professional		$18.10	$23.03	$54.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $18.11 / $164.81	Facility		$18.11	$18.11	$164.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $25.43 / $25.43	Professional		$17.03	$25.43	$25.43
United Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $23.54	Professional		$18.11	$18.11	$23.54