Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.60 / $134.13 / $18,823.50	Facility		$87.60	$134.13	$18,823.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $92.02 / $7,914.59	Professional		$89.34	$92.02	$7,914.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.68 / $165.28 / $199.23	Facility		$111.68	$165.28	$199.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $113.46	Professional		$89.34	$89.34	$113.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.22 / $163.75 / $163.75	Facility		$132.22	$163.75	$163.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.67 / $89.34 / $113.76	Facility		$41.67	$89.34	$113.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $87.57 / $99.51	Professional		$20.97	$87.57	$99.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.40 / $58.40 / $196.75	Facility		$58.40	$58.40	$196.75
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $87.60 / $178.68 / $178.68	Professional		$87.60	$178.68	$178.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.40 / $58.40 / $851.05	Facility		$58.40	$58.40	$851.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $65.01 / $178.68	Professional		$58.40	$65.01	$178.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $65.00 / $85.00	Professional		$19.98	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $58.40 / $58.40 / $196.75	Facility		$58.40	$58.40	$196.75
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $87.60 / $178.68 / $178.68	Professional		$87.60	$178.68	$178.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $89.34 / $360.05	Professional		$30.97	$89.34	$360.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $641.79	Facility		$89.34	$89.34	$641.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.43 / $125.43 / $270.75	Professional		$125.43	$125.43	$270.75
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $99.45 / $134.01	Professional		$89.34	$99.45	$134.01