Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.02 / $71.61 / $7,042.04	Facility		$32.02	$71.61	$7,042.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $32.02 / $5,917.66	Professional		$31.08	$32.02	$5,917.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.76 / $43.88 / $45.51	Facility		$37.76	$43.88	$45.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $20.41 / $27.55	Professional		$20.41	$20.41	$27.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $27.94 / $32.65	Facility		$27.94	$27.94	$32.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $25.98 / $59.19	Facility		$20.41	$25.98	$59.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $39.84 / $45.28	Professional		$20.41	$39.84	$45.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $31.18 / $44.91	Facility		$20.41	$31.18	$44.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $31.18 / $101.73	Facility		$20.89	$31.18	$101.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $54.00	Professional		$36.00	$36.00	$54.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $20.41 / $85.00	Professional		$19.75	$20.41	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $31.18 / $44.91	Facility		$20.41	$31.18	$44.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $21.81 / $67.09	Professional		$19.14	$21.81	$67.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $257.50 / $257.50 / $257.50	Facility		$257.50	$257.50	$257.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $20.41 / $20.41	Professional		$20.41	$20.41	$20.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $28.66 / $28.66	Professional		$28.66	$28.66	$28.66
United Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $34.68 / $55.49	Professional		$34.68	$34.68	$55.49