Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $32.97 / $17,663.43	Facility		$28.68	$32.97	$17,663.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $28.68 / $14,480.00	Professional		$27.85	$28.68	$14,480.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.50 / $59.86 / $62.08	Facility		$51.50	$59.86	$62.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $37.59	Professional		$27.85	$27.85	$37.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.22 / $51.05 / $51.05	Facility		$41.22	$51.05	$51.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $32.65 / $62.46	Facility		$27.85	$32.65	$62.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $31.89 / $36.24	Professional		$26.19	$31.89	$36.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $26.50 / $61.30	Facility		$26.50	$26.50	$61.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $26.50 / $120.87	Facility		$26.50	$26.50	$120.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $29.50 / $38.97	Professional		$26.50	$29.50	$38.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $27.85 / $85.00	Professional		$24.94	$27.85	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $26.50 / $61.30	Facility		$26.50	$26.50	$61.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $31.38 / $80.30	Professional		$23.50	$31.38	$80.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $27.85 / $354.50	Facility		$27.85	$27.85	$354.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Professional		$27.85	$27.85	$27.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $39.10 / $39.10	Professional		$39.10	$39.10	$39.10
United Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $31.00 / $40.97	Professional		$27.85	$31.00	$40.97