Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $39.52 / $45.38	Facility		$22.35	$39.52	$45.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $22.35 / $30.38	Professional		$21.70	$22.35	$30.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.13 / $40.15 / $48.39	Facility		$27.13	$40.15	$48.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $29.29	Professional		$21.70	$21.70	$29.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $39.06 / $39.77	Facility		$34.72	$39.06	$39.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $32.84 / $67.98	Facility		$21.70	$32.84	$67.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $33.61 / $70.04	Professional		$21.70	$33.61	$70.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $22.35 / $47.77	Facility		$19.76	$22.35	$47.77
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $43.40 / $43.40	Professional		$13.90	$43.40	$43.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $20.35 / $47.77	Facility		$19.76	$20.35	$47.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $22.00 / $933.68	Professional		$19.76	$22.00	$933.68
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 $19.76 / $22.35 / $47.77	Facility		$19.76	$22.35	$47.77
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $43.40 / $43.40	Professional		$13.90	$43.40	$43.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $33.78 / $82.90	Professional		$21.70	$33.78	$82.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $21.70 / $1,715.88	Facility		$21.70	$21.70	$1,715.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $68.41 / $933.68	Professional		$21.70	$68.41	$933.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $30.47 / $76.20	Professional		$30.47	$30.47	$76.20
United Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $22.35 / $27.34	Professional		$21.70	$22.35	$27.34