Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.95 / $44.12 / $23,060.11	Facility		$21.95	$44.12	$23,060.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $23.31 / $10,336.04	Professional		$21.31	$23.31	$10,336.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $39.42 / $47.52	Facility		$26.64	$39.42	$47.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $27.06	Professional		$21.31	$21.31	$27.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.17 / $29.17 / $34.10	Facility		$29.17	$29.17	$34.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $27.14 / $61.95	Facility		$21.31	$27.14	$61.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $34.40 / $39.10	Professional		$21.56	$34.40	$39.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $22.06 / $47.04	Facility		$18.55	$22.06	$47.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $42.62 / $42.62	Professional		$33.09	$42.62	$42.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $48.48 / $69.65	Facility		$22.06	$48.48	$69.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $22.06 / $42.62	Professional		$22.06	$22.06	$42.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $65.00 / $85.00	Professional		$21.16	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $22.06 / $47.04	Facility		$18.55	$22.06	$47.04
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $42.62 / $42.62	Professional		$33.09	$42.62	$42.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $22.59 / $72.40	Professional		$21.31	$22.59	$72.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $21.31 / $105.80	Facility		$21.31	$21.31	$105.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $29.92 / $32.22	Professional		$25.05	$29.92	$32.22
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $37.07	Professional		$21.31	$21.31	$37.07