Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.18 / $47.68 / $56.15	Facility		$25.18	$47.68	$56.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $29.84 / $42.01	Professional		$29.83	$29.84	$42.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $55.20 / $66.54	Facility		$37.29	$55.20	$66.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $37.89	Professional		$29.84	$29.84	$37.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $40.86 / $47.74	Facility		$40.86	$40.86	$47.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $44.69 / $102.40	Facility		$29.84	$44.69	$102.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $76.08 / $86.45	Professional		$26.69	$76.08	$86.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $24.45 / $65.58	Facility		$24.45	$24.45	$65.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $59.68 / $59.68	Professional		$36.68	$59.68	$59.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $24.45 / $54.18	Facility		$24.45	$24.45	$54.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $24.45 / $59.68	Professional		$24.45	$24.45	$59.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $44.02 / $85.00	Professional		$25.42	$44.02	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $24.45 / $65.58	Facility		$24.45	$24.45	$65.58
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $59.68 / $59.68	Professional		$36.68	$59.68	$59.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $40.83 / $121.84	Professional		$29.84	$40.83	$121.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $29.84 / $149.78	Facility		$29.84	$29.84	$149.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Professional		$29.84	$29.84	$29.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $41.90 / $90.54	Professional		$41.90	$41.90	$90.54
United Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $47.74	Professional		$29.84	$29.84	$47.74