Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.02 / $71.61 / $18,245.43	Facility		$32.02	$71.61	$18,245.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $1,305.59 / $7,040.00	Professional		$31.08	$1,305.59	$7,040.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $42.98 / $44.58	Facility		$36.97	$42.98	$44.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $30.98	Professional		$19.98	$19.98	$30.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $27.37 / $31.98	Facility		$27.37	$27.37	$31.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $20.97 / $37.89	Facility		$18.23	$20.97	$37.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $22.29 / $25.33	Professional		$16.20	$22.29	$25.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $31.18 / $52.66	Facility		$19.98	$31.18	$52.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.68 / $52.66 / $230.72	Facility		$19.68	$52.66	$230.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $61.97	Professional		$41.31	$41.31	$61.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $19.98 / $85.00	Professional		$15.91	$19.98	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $31.18 / $52.66	Facility		$19.98	$31.18	$52.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $19.98 / $39.60	Professional		$18.39	$19.98	$39.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $218.60 / $218.60 / $218.60	Facility		$218.60	$218.60	$218.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $19.98	Professional		$19.98	$19.98	$19.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $28.07 / $90.60	Professional		$28.07	$28.07	$90.60
United Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $40.09 / $60.14	Professional		$40.09	$40.09	$60.14