Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $54.72 / $450.24	Facility		$28.18	$54.72	$450.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $31.07 / $124.01	Professional		$30.17	$31.07	$124.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.71 / $37.71 / $37.71	Facility		$37.71	$37.71	$37.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $38.31	Professional		$30.17	$30.17	$38.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.31 / $41.31 / $48.27	Facility		$41.31	$41.31	$48.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $76.22 / $108.95	Facility		$30.17	$76.22	$108.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $49.02 / $55.70	Professional		$30.00	$49.02	$55.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $27.36 / $66.28	Facility		$27.36	$27.36	$66.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $60.34 / $60.34	Professional		$2.67	$60.34	$60.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $60.59 / $152.27	Facility		$27.36	$60.59	$152.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $27.36 / $57.46	Professional		$27.36	$27.36	$57.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $65.00 / $85.00	Professional		$29.44	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $27.36 / $66.28	Facility		$27.36	$27.36	$66.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $60.34 / $60.34	Professional		$2.67	$60.34	$60.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $45.63 / $95.00	Professional		$30.17	$45.63	$95.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $30.17 / $181.25	Facility		$30.17	$30.17	$181.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $30.17	Professional		$30.17	$30.17	$30.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $42.36 / $67.91	Professional		$42.36	$42.36	$67.91
United Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $45.26	Professional		$30.17	$30.17	$45.26