Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.50 / $5,503.79 / $7,264.00	Facility		$41.50	$5,503.79	$7,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $41.50 / $5,814.00	Professional		$40.29	$41.50	$5,814.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.54 / $86.62 / $89.85	Facility		$74.54	$86.62	$89.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $60.43	Professional		$40.29	$40.29	$60.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.17 / $59.63 / $64.45	Facility		$55.17	$59.63	$64.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $72.45 / $150.63	Facility		$40.29	$72.45	$150.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $52.65 / $78.73	Professional		$40.29	$52.65	$78.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $41.91 / $58.10	Facility		$40.29	$41.91	$58.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $45.04 / $64.30	Facility		$44.59	$45.04	$64.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $49.64 / $233.37	Professional		$44.59	$49.64	$233.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $58.40 / $85.00	Professional		$40.29	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $41.91 / $58.10	Facility		$40.29	$41.91	$58.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $62.75 / $176.00	Professional		$36.71	$62.75	$176.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $63.75 / $382.05	Facility		$40.29	$63.75	$382.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $95.37 / $233.37	Professional		$40.29	$95.37	$233.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $56.57 / $56.57	Professional		$56.57	$56.57	$56.57
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $41.10 / $50.97	Professional		$40.29	$41.10	$50.97