Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.21 / $61.09 / $71.95	Facility		$32.21	$61.09	$71.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $42.94 / $11,159.30	Professional		$31.27	$42.94	$11,159.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.09 / $57.85 / $69.73	Facility		$39.09	$57.85	$69.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $39.71	Professional		$31.27	$31.27	$39.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.81 / $42.81 / $50.03	Facility		$42.81	$42.81	$50.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $39.85 / $84.68	Facility		$31.27	$39.85	$84.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $47.56 / $54.05	Professional		$31.27	$47.56	$54.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $31.33 / $69.14	Facility		$27.16	$31.33	$69.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $62.54 / $62.54	Professional		$47.00	$62.54	$62.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $31.33 / $78.66	Facility		$31.33	$31.33	$78.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $31.33 / $62.54	Professional		$31.33	$31.33	$62.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $55.00 / $85.00	Professional		$30.54	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $31.33 / $69.14	Facility		$27.16	$31.33	$69.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $62.54 / $62.54	Professional		$47.00	$62.54	$62.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $33.15 / $104.50	Professional		$31.27	$33.15	$104.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $31.27 / $152.69	Facility		$31.27	$31.27	$152.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $31.27	Professional		$31.27	$31.27	$31.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $43.90 / $43.90	Professional		$36.88	$43.90	$43.90
United Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $45.35	Professional		$31.27	$31.27	$45.35