Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.23 / $117.68 / $351.26	Facility		$59.23	$117.68	$351.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $58.08 / $66.70	Professional		$57.51	$58.08	$66.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.89 / $71.89 / $71.89	Facility		$71.89	$71.89	$71.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $77.63	Professional		$57.51	$57.51	$77.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.73 / $85.11 / $92.02	Facility		$78.73	$85.11	$92.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $102.49 / $177.79	Facility		$57.51	$102.49	$177.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $59.68 / $84.79	Professional		$52.53	$59.68	$84.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.14 / $57.51 / $71.58	Facility		$30.14	$57.51	$71.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $115.02 / $115.02	Professional		$3.21	$115.02	$115.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.14 / $53.40 / $71.58	Facility		$30.14	$53.40	$71.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $53.40 / $309.22	Professional		$53.40	$53.40	$309.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.14 / $57.51 / $71.58	Facility		$30.14	$57.51	$71.58
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $115.02 / $115.02	Professional		$3.21	$115.02	$115.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $61.97 / $158.00	Professional		$57.51	$61.97	$158.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $224.97 / $224.97	Facility		$85.00	$224.97	$224.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $93.74 / $309.22	Professional		$57.51	$93.74	$309.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $80.73 / $80.73	Professional		$40.97	$80.73	$80.73
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $72.75	Professional		$57.51	$57.51	$72.75