Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $238.94 / $358.41	Facility		$26.09	$238.94	$358.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $26.09 / $957.06	Professional		$25.33	$26.09	$957.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.66 / $46.86 / $56.49	Facility		$31.66	$46.86	$56.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $39.26	Professional		$25.33	$25.33	$39.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $34.68 / $40.53	Facility		$34.68	$34.68	$40.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $122.50 / $175.10	Facility		$25.33	$122.50	$175.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $269.62 / $306.39	Professional		$25.43	$269.62	$306.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $119.47 / $303.70	Facility		$25.33	$119.47	$303.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $50.66 / $179.21	Professional		$50.66	$50.66	$179.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.47 / $119.47 / $303.70	Facility		$119.47	$119.47	$303.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $133.00 / $167.26	Professional		$50.66	$133.00	$167.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $65.00 / $85.00	Professional		$24.98	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $119.47 / $303.70	Facility		$25.33	$119.47	$303.70
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $50.66 / $179.21	Professional		$50.66	$50.66	$179.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $40.79 / $130.59	Professional		$25.33	$40.79	$130.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $25.33 / $1,826.45	Facility		$25.33	$25.33	$1,826.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Professional		$25.33	$25.33	$25.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $35.56 / $542.92	Professional		$35.56	$35.56	$542.92
United Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $28.20 / $38.00	Professional		$25.33	$28.20	$38.00