Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.32 / $47.37 / $55.79	Facility		$24.32	$47.37	$55.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $24.32 / $54.55	Professional		$23.61	$24.32	$54.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $29.98	Professional		$23.61	$23.61	$29.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.33 / $32.33 / $37.78	Facility		$32.33	$32.33	$37.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $67.28 / $96.17	Facility		$23.61	$67.28	$96.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $55.09 / $62.60	Professional		$24.83	$55.09	$62.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $24.29 / $52.03	Facility		$18.88	$24.29	$52.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $47.22 / $47.22	Professional		$4.01	$47.22	$47.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $24.29 / $53.47	Facility		$18.88	$24.29	$53.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $24.29 / $47.22	Professional		$24.29	$24.29	$47.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $65.00 / $85.00	Professional		$24.38	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $24.29 / $52.03	Facility		$18.88	$24.29	$52.03
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $47.22 / $47.22	Professional		$4.01	$47.22	$47.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $36.75 / $79.00	Professional		$23.61	$36.75	$79.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $23.61 / $260.70	Facility		$23.61	$23.61	$260.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $23.61	Professional		$23.61	$23.61	$23.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.15 / $33.15	Professional		$25.70	$33.15	$33.15
United Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $35.42	Professional		$23.61	$23.61	$35.42