Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.88 / $60.00 / $47,258.16	Facility		$30.88	$60.00	$47,258.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $30.28 / $41.17	Professional		$29.98	$30.28	$41.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.47 / $55.46 / $66.86	Facility		$37.47	$55.46	$66.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $40.47	Professional		$29.98	$29.98	$40.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $41.97 / $54.95	Facility		$29.98	$41.97	$54.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $30.00 / $69.51	Professional		$29.98	$30.00	$69.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $42.32 / $96.56	Facility		$29.98	$42.32	$96.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $36.79 / $53.63	Professional		$29.98	$36.79	$53.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $30.00 / $33.15	Facility		$29.98	$30.00	$33.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $59.96 / $59.96	Professional		$45.00	$59.96	$59.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $33.17	Facility		$30.00	$30.00	$33.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $33.40 / $127.20	Professional		$30.00	$33.40	$127.20
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 $29.98 / $30.00 / $33.36	Facility		$29.98	$30.00	$33.36
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $59.96 / $59.96	Professional		$45.00	$59.96	$59.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $38.25 / $97.90	Professional		$29.98	$38.25	$97.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $29.98 / $144.50	Facility		$29.94	$29.98	$144.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $53.00 / $127.20	Professional		$29.98	$53.00	$127.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.09 / $42.09 / $42.09	Professional		$42.09	$42.09	$42.09
United Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $31.48 / $40.04	Professional		$29.98	$31.48	$40.04