Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.03 / $77.03 / $77.03	Facility		$77.03	$77.03	$77.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $60.34 / $77.03	Professional		$52.64	$60.34	$77.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $6.91 / $256.76	Professional		$6.91	$6.91	$256.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $64.19 / $97.45	Facility		$64.19	$64.19	$97.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.62 / $206.39 / $316.61	Facility		$176.62	$206.39	$316.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $172.85 / $196.43	Professional		$73.51	$172.85	$196.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $57.77 / $82.16	Facility		$33.36	$57.77	$82.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $64.19 / $304.89	Facility		$33.36	$64.19	$304.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $64.19 / $134.80	Professional		$37.22	$64.19	$134.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $85.00	Professional		$55.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $57.77 / $82.16	Facility		$33.36	$57.77	$82.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $152.72 / $217.80	Professional		$75.23	$152.72	$217.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.38 / $128.38 / $304.89	Facility		$128.38	$128.38	$304.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $136.69 / $136.69	Professional		$136.69	$136.69	$136.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $337.00 / $350.48 / $350.48	Professional		$337.00	$350.48	$350.48
United Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $51.35 / $134.80	Professional		$32.10	$51.35	$134.80