Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $56.40 / $56.40	Facility		$56.40	$56.40	$56.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $44.18 / $56.40	Professional		$36.19	$44.18	$56.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $54.80 / $201.31	Professional		$47.00	$54.80	$201.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.38 / $71.38 / $71.38	Facility		$71.38	$71.38	$71.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.76 / $151.63 / $232.61	Facility		$129.76	$151.63	$232.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $126.57 / $143.83	Professional		$55.73	$126.57	$143.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.19 / $56.40 / $164.50	Facility		$36.19	$56.40	$164.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.19 / $56.40 / $164.50	Facility		$36.19	$56.40	$164.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $28.20 / $144.94	Professional		$23.50	$28.20	$144.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.19 / $56.40 / $164.50	Facility		$36.19	$56.40	$164.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $111.84 / $156.86	Professional		$78.30	$111.84	$156.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $223.25 / $223.25	Facility		$94.00	$223.25	$223.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $188.00 / $234.06	Professional		$188.00	$188.00	$234.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $100.09	Professional		$100.09	$100.09	$100.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $136.59 / $256.62 / $256.62	Professional		$136.59	$256.62	$256.62
United Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $28.20 / $98.70	Professional		$20.43	$28.20	$98.70