Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.65 / $80.73 / $95.11	Facility		$42.65	$80.73	$95.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $43.75 / $71.13	Professional		$42.48	$43.75	$71.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.10 / $78.59 / $94.73	Facility		$53.10	$78.59	$94.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $53.94	Professional		$42.48	$42.48	$53.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.16 / $58.16 / $67.97	Facility		$58.16	$58.16	$67.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $103.20 / $147.52	Facility		$42.48	$103.20	$147.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $63.82 / $72.53	Professional		$43.58	$63.82	$72.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $41.40 / $93.37	Facility		$41.40	$41.40	$93.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $84.96 / $84.96	Professional		$62.10	$84.96	$84.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $41.40 / $91.25	Facility		$41.40	$41.40	$91.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $41.40 / $84.96	Professional		$41.40	$41.40	$84.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $42.77 / $85.00	Professional		$42.77	$42.77	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $41.40 / $93.37	Facility		$41.40	$41.40	$93.37
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $84.96 / $84.96	Professional		$62.10	$84.96	$84.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $66.12 / $144.80	Professional		$42.47	$66.12	$144.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $42.48 / $213.85	Facility		$42.48	$42.48	$213.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $59.64 / $59.64	Professional		$59.64	$59.64	$59.64
United Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $55.22	Professional		$42.48	$42.48	$55.22