Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.70 / $62.16 / $71.38	Facility		$31.70	$62.16	$71.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $31.49 / $35.70	Professional		$30.78	$31.49	$35.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $56.94 / $68.64	Facility		$38.47	$56.94	$68.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $41.55	Professional		$30.78	$30.78	$41.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.25 / $55.40 / $56.42	Facility		$49.25	$55.40	$56.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $59.71 / $103.58	Facility		$30.78	$59.71	$103.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $39.20 / $56.64	Professional		$30.78	$39.20	$56.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $31.39 / $36.93	Facility		$30.78	$31.39	$36.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $61.56 / $61.56	Professional		$46.62	$61.56	$61.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $31.08 / $34.53	Facility		$31.08	$31.08	$34.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $34.60 / $134.18	Professional		$31.08	$34.60	$134.18
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 $30.78 / $31.08 / $36.93	Facility		$30.78	$31.08	$36.93
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $61.56 / $61.56	Professional		$46.62	$61.56	$61.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $47.90 / $101.58	Professional		$30.77	$47.90	$101.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $32.32 / $157.69	Facility		$30.78	$32.32	$157.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $55.91 / $134.18	Professional		$30.78	$55.91	$134.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.22 / $43.22 / $43.22	Professional		$43.22	$43.22	$43.22
United Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $32.32 / $38.20	Professional		$30.78	$32.32	$38.20