Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.96 / $34.01 / $40.04	Facility		$17.96	$34.01	$40.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $18.14 / $370.96	Professional		$17.62	$18.14	$370.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.03 / $32.60 / $39.29	Facility		$22.03	$32.60	$39.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $22.37	Professional		$17.62	$17.62	$22.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.13 / $24.13 / $28.19	Facility		$24.13	$24.13	$28.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $42.35 / $60.54	Facility		$17.62	$42.35	$60.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $26.92 / $30.59	Professional		$17.80	$26.92	$30.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $17.44 / $215.96	Facility		$17.44	$17.44	$215.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $35.24 / $125.06	Professional		$26.16	$35.24	$125.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $17.44 / $215.96	Facility		$17.44	$17.44	$215.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $17.44 / $35.24	Professional		$17.44	$17.44	$35.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $17.62 / $85.00	Professional		$17.44	$17.62	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $17.44 / $215.96	Facility		$17.44	$17.44	$215.96
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $35.24 / $125.06	Professional		$26.16	$35.24	$125.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $27.13 / $58.35	Professional		$17.62	$27.13	$58.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $264.00 / $264.00	Facility		$264.00	$264.00	$264.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Professional		$17.62	$17.62	$17.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $24.74 / $25.90	Professional		$24.74	$24.74	$25.90
United Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $28.19	Professional		$17.62	$17.62	$28.19