Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.92 / $37.92 / $37.92	Facility		$37.92	$37.92	$37.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $37.92 / $37.92	Professional		$25.91	$37.92	$37.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $4.41 / $126.40	Professional		$4.41	$4.41	$126.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $31.60 / $48.24	Facility		$31.60	$31.60	$48.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $102.14 / $156.69	Facility		$87.41	$102.14	$156.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $85.10 / $96.70	Professional		$36.34	$85.10	$96.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $25.91 / $37.92	Facility		$16.43	$25.91	$37.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $28.44 / $150.10	Facility		$16.43	$28.44	$150.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $31.60 / $66.36	Professional		$18.32	$31.60	$66.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $25.91 / $37.92	Facility		$16.43	$25.91	$37.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $75.59 / $107.80	Professional		$37.24	$75.59	$107.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63.20 / $63.20 / $150.10	Facility		$63.20	$63.20	$150.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $67.31 / $67.31	Professional		$67.31	$67.31	$67.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $172.54 / $172.54 / $172.54	Professional		$172.54	$172.54	$172.54
United Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $25.28 / $66.36	Professional		$15.80	$25.28	$66.36