Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $36.60 / $18,893.34	Facility		$18.55	$36.60	$18,893.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $24.73 / $4,200.00	Professional		$18.01	$24.73	$4,200.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $33.32 / $40.15	Facility		$22.51	$33.32	$40.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $22.87	Professional		$18.01	$18.01	$22.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $24.66 / $28.82	Facility		$24.66	$24.66	$28.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $22.93 / $50.38	Facility		$18.01	$22.93	$50.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $29.00 / $32.95	Professional		$18.11	$29.00	$32.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $18.30 / $39.93	Facility		$18.01	$18.30	$39.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $36.02 / $36.02	Professional		$27.45	$36.02	$36.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $18.30 / $40.64	Facility		$18.30	$18.30	$40.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $36.02	Professional		$18.30	$18.30	$36.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $65.00 / $85.00	Professional		$17.77	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $18.30 / $39.93	Facility		$18.01	$18.30	$39.93
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $36.02 / $36.02	Professional		$27.45	$36.02	$36.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $27.54 / $60.51	Professional		$18.01	$27.54	$60.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $18.01 / $88.85	Facility		$18.01	$18.01	$88.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $25.29 / $25.29	Professional		$25.29	$25.29	$25.29
United Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $25.85	Professional		$18.01	$18.01	$25.85