Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.14 / $31.14 / $4,336.75	Facility		$31.14	$31.14	$4,336.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $31.14 / $33.25	Professional		$30.23	$31.14	$33.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $48.36	Professional		$30.23	$30.23	$48.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.39 / $48.37 / $74.37	Facility		$41.39	$48.37	$74.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.93 / $74.88 / $106.14	Facility		$40.93	$74.88	$106.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $38.67 / $91.86	Professional		$30.23	$38.67	$91.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.53 / $47.64	Facility		$30.23	$30.53	$47.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $31.21 / $61.64	Facility		$30.30	$31.21	$61.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $30.30 / $63.63	Professional		$30.30	$30.30	$63.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $65.00 / $85.00	Professional		$31.17	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.53 / $47.64	Facility		$30.23	$30.53	$47.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $33.53 / $88.53	Professional		$30.23	$33.53	$88.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $85.00 / $134.55	Facility		$65.00	$85.00	$134.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $43.13 / $2,212.73	Professional		$30.23	$43.13	$2,212.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $42.44 / $45.46	Professional		$34.29	$42.44	$45.46
United Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $39.29	Professional		$30.23	$30.23	$39.29