Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $156.91 / $26,865.02	Facility		$81.37	$156.91	$26,865.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $81.37 / $110.59	Professional		$79.00	$81.37	$110.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.75 / $146.15 / $176.17	Facility		$98.75	$146.15	$176.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $106.65	Professional		$79.00	$79.00	$106.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.40 / $142.19 / $144.80	Facility		$126.40	$142.19	$144.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $113.46 / $207.56	Facility		$79.00	$113.46	$207.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $95.77 / $138.11	Professional		$78.91	$95.77	$138.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.91 / $79.00 / $135.91	Facility		$66.91	$79.00	$135.91
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $117.69 / $158.00 / $158.00	Professional		$117.69	$158.00	$158.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.91 / $78.45 / $113.13	Facility		$66.91	$78.45	$113.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $87.34 / $6,210.38	Professional		$78.45	$87.34	$6,210.38
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 $66.91 / $79.00 / $135.91	Facility		$66.91	$79.00	$135.91
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $117.69 / $158.00 / $158.00	Professional		$117.69	$158.00	$158.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $116.58 / $231.00	Professional		$78.98	$116.58	$231.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $376.05	Facility		$79.00	$79.00	$376.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $137.65 / $6,210.38	Professional		$79.00	$137.65	$6,210.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $80.78 / $110.92 / $111.27	Professional		$80.78	$110.92	$111.27
United Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $86.90 / $150.41	Professional		$79.00	$86.90	$150.41