Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $52.12 / $187.85	Facility		$52.12	$52.12	$187.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $52.12 / $52.12	Professional		$34.74	$52.12	$52.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.59 / $173.72	Professional		$4.59	$4.59	$173.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $65.95 / $65.95	Facility		$65.95	$65.95	$65.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.85 / $140.05 / $214.84	Facility		$119.85	$140.05	$214.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $116.95 / $132.90	Professional		$51.47	$116.95	$132.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $52.12 / $152.01	Facility		$33.44	$52.12	$152.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.09 / $52.12 / $152.01	Facility		$39.09	$52.12	$152.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $34.74 / $156.35	Professional		$21.72	$34.74	$156.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $52.12 / $152.01	Facility		$33.44	$52.12	$152.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.36 / $103.35 / $144.96	Professional		$72.36	$103.35	$144.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $86.86 / $206.29 / $206.29	Facility		$86.86	$206.29	$206.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.72 / $173.72 / $216.28	Professional		$173.72	$173.72	$216.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $43.43 / $92.49	Professional		$43.43	$43.43	$92.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $43.43 / $237.13	Professional		$43.43	$43.43	$237.13
United Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $43.43 / $43.43	Facility		$43.43	$43.43	$43.43
United Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $56.00 / $108.36	Professional		$23.89	$56.00	$108.36