Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.78 / $79.09 / $93.17	Facility		$41.78	$79.09	$93.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $98.77 / $7,029.37	Professional		$44.60	$98.77	$7,029.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.75 / $82.51 / $99.46	Facility		$55.75	$82.51	$99.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $56.64	Professional		$44.60	$44.60	$56.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.06 / $61.06 / $71.36	Facility		$61.06	$61.06	$71.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $51.28 / $106.60	Facility		$44.60	$51.28	$106.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $51.09 / $69.94	Professional		$40.88	$51.09	$69.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $40.56 / $44.60	Facility		$21.40	$40.56	$44.60
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $89.20 / $89.20	Professional		$12.30	$89.20	$89.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $40.56 / $40.56	Facility		$21.40	$40.56	$40.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $40.56 / $85.18	Professional		$40.56	$40.56	$85.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $65.00 / $85.00	Professional		$40.11	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $40.56 / $44.60	Facility		$21.40	$40.56	$44.60
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $89.20 / $89.20	Professional		$12.30	$89.20	$89.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $44.60 / $126.43	Professional		$44.59	$44.60	$126.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $44.60 / $200.60	Facility		$44.60	$44.60	$200.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $44.60	Professional		$44.60	$44.60	$44.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $62.62 / $62.62	Professional		$46.31	$62.62	$62.62
United Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $61.07	Professional		$44.60	$44.60	$61.07