Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $73.31 / $45,108.09	Facility		$37.85	$73.31	$45,108.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $37.10 / $44.09	Professional		$36.74	$37.10	$44.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.93 / $67.97 / $81.93	Facility		$45.93	$67.97	$81.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $49.59	Professional		$36.74	$36.74	$49.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $51.32 / $67.34	Facility		$36.65	$51.32	$67.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $36.74 / $85.18	Professional		$36.65	$36.74	$85.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $55.86 / $127.46	Facility		$36.74	$55.86	$127.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $46.69 / $62.09	Professional		$36.74	$46.69	$62.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $36.74 / $41.29	Facility		$36.65	$36.74	$41.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $73.48 / $73.48	Professional		$54.99	$73.48	$73.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $36.65 / $40.54	Facility		$36.65	$36.65	$40.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $40.81 / $161.83	Professional		$36.65	$40.81	$161.83
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 $36.65 / $36.74 / $40.89	Facility		$36.65	$36.74	$40.89
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $73.48 / $73.48	Professional		$54.99	$73.48	$73.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $48.57 / $124.30	Professional		$36.74	$48.57	$124.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.64 / $36.74 / $183.20	Facility		$36.64	$36.74	$183.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $67.43 / $161.83	Professional		$36.74	$67.43	$161.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $51.58 / $51.58	Professional		$51.58	$51.58	$51.58
United Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $36.72	Facility		$36.72	$36.72	$36.72
United Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $37.47 / $43.72	Professional		$36.74	$37.47	$43.72