Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $64.94 / $316.36	Facility		$20.96	$64.94	$316.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.96 / $28.49	Professional		$20.35	$20.96	$28.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $37.65 / $45.38	Facility		$25.44	$37.65	$45.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $29.34	Professional		$20.35	$20.35	$29.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.56 / $36.63 / $37.29	Facility		$32.56	$36.63	$37.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $56.89 / $118.27	Facility		$20.35	$56.89	$118.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $32.58 / $124.39	Professional		$20.35	$32.58	$124.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $22.38 / $114.93	Facility		$20.35	$22.38	$114.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $40.70 / $42.41	Professional		$10.69	$40.70	$42.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $29.12 / $114.93	Facility		$28.27	$29.12	$114.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $31.47 / $573.77	Professional		$28.27	$31.47	$573.77
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 $20.35 / $22.65 / $114.93	Facility		$20.35	$22.65	$114.93
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $40.70 / $42.41	Professional		$10.69	$40.70	$42.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $50.99 / $162.38	Professional		$20.35	$50.99	$162.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $20.35 / $628.59	Facility		$20.35	$20.35	$628.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $161.15 / $573.77	Professional		$20.35	$161.15	$573.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $197.82	Professional		$28.57	$28.57	$197.82
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $21.57 / $29.94	Professional		$20.35	$21.57	$29.94