Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $77.29 / $77.29	Facility		$77.29	$77.29	$77.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $60.55 / $77.29	Professional		$52.82	$60.55	$77.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $11.94 / $262.75	Professional		$11.94	$11.94	$262.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $77.29 / $97.94	Facility		$64.41	$77.29	$97.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.52 / $207.45 / $318.23	Facility		$177.52	$207.45	$318.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $173.45 / $197.10	Professional		$73.93	$173.45	$197.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $57.97 / $82.44	Facility		$33.49	$57.97	$82.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $64.41 / $305.95	Facility		$33.49	$64.41	$305.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $64.41 / $135.26	Professional		$37.36	$64.41	$135.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $85.00 / $85.00	Professional		$32.21	$85.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $57.97 / $82.44	Facility		$33.49	$57.97	$82.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $153.49 / $218.90	Professional		$75.62	$153.49	$218.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $305.95	Facility		$128.82	$128.82	$305.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $137.16 / $137.16 / $137.16	Professional		$137.16	$137.16	$137.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $351.68 / $351.68 / $351.68	Professional		$351.68	$351.68	$351.68
United Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $64.41	Facility		$64.41	$64.41	$64.41
United Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $51.53 / $170.82	Professional		$32.21	$51.53	$170.82