Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $39.70 / $29,088.17	Facility		$20.44	$39.70	$29,088.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $20.57 / $34.10	Professional		$19.96	$20.57	$34.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.96 / $36.94 / $44.53	Facility		$24.96	$36.94	$44.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $25.36	Professional		$19.97	$19.97	$25.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.34 / $27.34 / $31.95	Facility		$27.34	$27.34	$31.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $25.02 / $52.02	Facility		$19.97	$25.02	$52.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $28.17 / $32.01	Professional		$19.69	$28.17	$32.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $19.85 / $44.20	Facility		$19.85	$19.85	$44.20
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $39.94 / $39.94	Professional		$29.78	$39.94	$39.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $19.85 / $43.47	Facility		$19.85	$19.85	$43.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $19.85 / $39.94	Professional		$19.85	$19.85	$39.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $85.00	Professional		$19.32	$19.32	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $19.85 / $44.20	Facility		$19.85	$19.85	$44.20
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $39.94 / $39.94	Professional		$29.78	$39.94	$39.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $25.79 / $66.00	Professional		$19.97	$25.79	$66.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $96.60 / $96.60	Facility		$96.60	$96.60	$96.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $28.04 / $28.04	Professional		$28.04	$28.04	$28.04
United Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $27.34	Professional		$19.97	$19.97	$27.34