Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.72 / $48.26 / $12,314.03	Facility		$24.72	$48.26	$12,314.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.96 / $11,029.50	Professional		$24.00	$24.96	$11,029.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $44.40 / $53.52	Facility		$30.00	$44.40	$53.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $30.48	Professional		$24.00	$24.00	$30.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $32.86 / $38.40	Facility		$32.86	$32.86	$38.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $30.56 / $67.17	Facility		$24.00	$30.56	$67.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $38.14 / $43.34	Professional		$24.83	$38.14	$43.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $24.00 / $24.13	Facility		$8.61	$24.00	$24.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $48.00 / $48.00	Professional		$5.34	$48.00	$48.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $24.13 / $77.77	Facility		$8.61	$24.13	$77.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $24.13 / $48.00	Professional		$24.13	$24.13	$48.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $65.00 / $85.00	Professional		$24.37	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $24.00 / $24.13	Facility		$8.61	$24.00	$24.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $48.00 / $48.00	Professional		$5.34	$48.00	$48.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $25.44 / $79.95	Professional		$24.00	$25.44	$79.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $24.00 / $121.85	Facility		$24.00	$24.00	$121.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $33.70 / $35.51	Professional		$24.66	$33.70	$35.51
United Facility/Professional Facility Modifier Low / Median / High Price $23.98 / $23.98 / $23.98	Facility		$23.98	$23.98	$23.98
United Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $35.52	Professional		$24.00	$24.00	$35.52