Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.23 / $125.57 / $33,384.65	Facility		$57.23	$125.57	$33,384.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $57.23 / $80.56	Professional		$55.57	$57.23	$80.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.45 / $102.80 / $123.92	Facility		$69.45	$102.80	$123.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $75.01	Professional		$55.57	$55.57	$75.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $76.54 / $101.85	Facility		$54.67	$76.54	$101.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $55.57 / $128.83	Professional		$54.67	$55.57	$128.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $68.81 / $143.05	Facility		$55.57	$68.81	$143.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $66.56 / $86.93	Professional		$55.57	$66.56	$86.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $55.57 / $61.44	Facility		$54.67	$55.57	$61.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $82.01 / $111.14 / $111.14	Professional		$82.01	$111.14	$111.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $54.67 / $69.77	Facility		$54.67	$54.67	$69.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $60.86 / $226.89	Professional		$54.67	$60.86	$226.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $55.57 / $61.85	Facility		$54.67	$55.57	$61.85
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $82.01 / $111.14 / $111.14	Professional		$82.01	$111.14	$111.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $81.26 / $171.82	Professional		$55.57	$81.26	$171.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $55.57 / $264.95	Facility		$55.57	$55.57	$264.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $94.54 / $226.89	Professional		$55.57	$94.54	$226.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $78.02 / $78.02	Professional		$65.22	$78.02	$78.02
United Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $57.24 / $70.30	Professional		$55.57	$57.24	$70.30