Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.81 / $30.81 / $31,920.00	Facility		$30.81	$30.81	$31,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $30.81 / $32.90	Professional		$29.91	$30.81	$32.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $44.86	Professional		$29.91	$29.91	$44.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $47.56 / $47.86	Facility		$40.95	$47.56	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.83 / $74.70 / $105.88	Facility		$40.83	$74.70	$105.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $31.17 / $54.46	Professional		$25.69	$31.17	$54.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $30.81 / $47.14	Facility		$29.91	$30.81	$47.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.70 / $31.62 / $56.92	Facility		$30.70	$31.62	$56.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $30.70 / $64.47	Professional		$30.70	$30.70	$64.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $30.81 / $47.14	Facility		$29.91	$30.81	$47.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $37.92 / $95.35	Professional		$29.91	$37.92	$95.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.87 / $75.00 / $135.06	Facility		$30.87	$75.00	$135.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $48.98 / $135.06	Professional		$29.91	$48.98	$135.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $41.99 / $41.99	Professional		$41.99	$41.99	$41.99
United Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $35.89	Professional		$29.91	$29.91	$35.89