Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $26.58 / $16,614.93	Facility		$13.38	$26.58	$16,614.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $13.51 / $12,480.00	Professional		$12.99	$13.51	$12,480.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $24.03 / $28.97	Facility		$16.23	$24.03	$28.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $16.48	Professional		$12.99	$12.99	$16.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $20.78	Facility		$17.78	$17.78	$20.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $31.45 / $44.96	Facility		$12.99	$31.45	$44.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $19.68 / $22.36	Professional		$13.05	$19.68	$22.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $13.29 / $28.51	Facility		$11.26	$13.29	$28.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $25.98 / $25.98	Professional		$19.94	$25.98	$25.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $13.29 / $29.22	Facility		$11.26	$13.29	$29.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $25.98	Professional		$13.29	$13.29	$25.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $55.00 / $85.00	Professional		$12.81	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $13.29 / $28.51	Facility		$11.26	$13.29	$28.51
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $25.98 / $25.98	Professional		$19.94	$25.98	$25.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $14.43 / $42.14	Professional		$12.99	$14.43	$42.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $12.99	Professional		$12.99	$12.99	$12.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $18.23 / $19.28	Professional		$15.24	$18.23	$19.28
United Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $19.48	Professional		$12.99	$12.99	$19.48