Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $61.13 / $72.01	Facility		$32.29	$61.13	$72.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $37.79 / $87.30	Professional		$36.69	$37.79	$87.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.86 / $45.86 / $45.86	Facility		$45.86	$45.86	$45.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $46.59	Professional		$36.69	$36.69	$46.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $50.24 / $58.70	Facility		$50.24	$50.24	$58.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $79.52 / $113.67	Facility		$36.69	$79.52	$113.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $50.72 / $57.64	Professional		$26.06	$50.72	$57.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $31.35 / $80.56	Facility		$5.96	$31.35	$80.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $73.38 / $73.38	Professional		$4.80	$73.38	$73.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $31.35 / $69.14	Facility		$5.96	$31.35	$69.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $31.35 / $73.38	Professional		$31.35	$31.35	$73.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $65.00 / $85.00	Professional		$25.59	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $31.35 / $80.56	Facility		$5.96	$31.35	$80.56
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $73.38 / $73.38	Professional		$4.80	$73.38	$73.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $39.79 / $87.00	Professional		$36.69	$39.79	$87.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $124.77 / $124.77 / $124.77	Facility		$124.77	$124.77	$124.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Professional		$36.69	$36.69	$36.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $51.51 / $51.51	Professional		$7.98	$51.51	$51.51
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $77.05	Professional		$36.69	$36.69	$77.05