Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.99 / $99.00 / $55,285.56	Facility		$33.99	$99.00	$55,285.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $33.95 / $55.28	Professional		$32.96	$33.95	$55.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $60.98 / $73.50	Facility		$41.20	$60.98	$73.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $44.49	Professional		$32.96	$32.96	$44.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $46.14 / $60.41	Facility		$32.96	$46.14	$60.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $33.00 / $76.43	Professional		$32.96	$33.00	$76.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $42.51 / $88.37	Facility		$32.96	$42.51	$88.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $39.50 / $61.05	Professional		$32.96	$39.50	$61.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $33.00 / $36.45	Facility		$29.91	$33.00	$36.45
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $65.92 / $65.92	Professional		$49.50	$65.92	$65.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $33.00 / $41.97	Facility		$29.91	$33.00	$41.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $36.74 / $1,942.31	Professional		$33.00	$36.74	$1,942.31
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 $29.91 / $33.00 / $36.45	Facility		$29.91	$33.00	$36.45
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $65.92 / $65.92	Professional		$49.50	$65.92	$65.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $50.15 / $100.00	Professional		$32.96	$50.15	$100.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $32.96 / $161.75	Facility		$32.96	$32.96	$161.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $59.42 / $1,942.31	Professional		$32.96	$59.42	$1,942.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $46.28 / $48.03	Professional		$34.36	$46.28	$48.03
United Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $32.96 / $32.96	Facility		$32.96	$32.96	$32.96
United Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $34.86 / $39.72	Professional		$32.96	$34.86	$39.72