Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.30 / $80.06 / $94.33	Facility		$42.30	$80.06	$94.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $42.34 / $107.05	Professional		$41.11	$42.34	$107.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.39 / $76.05 / $91.68	Facility		$51.39	$76.05	$91.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $52.20	Professional		$41.11	$41.11	$52.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.28 / $56.28 / $65.78	Facility		$56.28	$56.28	$65.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $52.36 / $118.48	Facility		$41.11	$52.36	$118.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $70.22 / $79.80	Professional		$41.40	$70.22	$79.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $41.06 / $90.54	Facility		$37.09	$41.06	$90.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $61.59 / $82.22 / $82.22	Professional		$61.59	$82.22	$82.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $41.06 / $90.54	Facility		$37.09	$41.06	$90.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $41.06 / $82.22	Professional		$41.06	$41.06	$82.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $65.00 / $85.00	Professional		$40.64	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $41.06 / $90.54	Facility		$37.09	$41.06	$90.54
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $61.59 / $82.22 / $82.22	Professional		$61.59	$82.22	$82.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $63.00 / $129.00	Professional		$41.11	$63.00	$129.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $204.30 / $204.30 / $204.30	Facility		$204.30	$204.30	$204.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.42 / $57.72 / $63.80	Professional		$50.42	$57.72	$63.80
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $57.55	Professional		$41.11	$41.11	$57.55