Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.23 / $83.97 / $11,579.86	Facility		$31.23	$83.97	$11,579.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $31.54 / $7,085.62	Professional		$30.32	$31.54	$7,085.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.09 / $65.19 / $67.61	Facility		$56.09	$65.19	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $40.93	Professional		$30.32	$30.32	$40.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.51 / $41.51 / $48.51	Facility		$41.51	$41.51	$48.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $38.63 / $893.24	Facility		$30.32	$38.63	$893.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $46.19 / $52.49	Professional		$25.92	$46.19	$52.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $27.99 / $67.02	Facility		$27.99	$27.99	$67.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $27.99 / $62.01	Facility		$27.99	$27.99	$62.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $31.16 / $41.17	Professional		$27.99	$31.16	$41.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $30.32 / $85.00	Professional		$24.71	$30.32	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $27.99 / $67.02	Facility		$27.99	$27.99	$67.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $32.65 / $83.60	Professional		$24.99	$32.65	$83.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $30.32 / $1,527.75	Facility		$30.32	$30.32	$1,527.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $30.32	Professional		$30.32	$30.32	$30.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $42.57 / $42.57	Professional		$42.57	$42.57	$42.57
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $33.75 / $45.48	Professional		$30.32	$33.75	$45.48