Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.20 / $119.40 / $121,999.50	Facility		$61.20	$119.40	$121,999.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $86.14 / $50,871.06	Professional		$59.41	$86.14	$50,871.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.26 / $109.91 / $132.47	Facility		$74.26	$109.91	$132.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $75.45	Professional		$59.41	$59.41	$75.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.33 / $81.33 / $95.06	Facility		$81.33	$81.33	$95.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $75.66 / $166.40	Facility		$59.41	$75.66	$166.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $93.18 / $105.89	Professional		$59.41	$93.18	$105.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.66 / $59.70 / $131.16	Facility		$52.66	$59.70	$131.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $118.82 / $118.82	Professional		$89.55	$118.82	$118.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.70 / $59.70 / $150.02	Facility		$59.70	$59.70	$150.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.70 / $59.70 / $118.82	Professional		$59.70	$59.70	$118.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.81 / $65.00 / $85.00	Professional		$57.81	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $52.66 / $59.70 / $131.16	Facility		$52.66	$59.70	$131.16
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $118.82 / $118.82	Professional		$89.55	$118.82	$118.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $62.97 / $196.67	Professional		$59.41	$62.97	$196.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $59.41 / $289.05	Facility		$59.41	$59.41	$289.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $59.41	Professional		$59.41	$59.41	$59.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $83.41 / $90.73	Professional		$71.70	$83.41	$90.73
United Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $83.17	Professional		$59.41	$59.41	$83.17