Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $114.69	Facility		$42.13	$42.13	$114.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $31.37 / $205.72	Professional		$6.00	$31.37	$205.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $84.26 / $130.63	Facility		$51.43	$84.26	$130.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.91 / $107.41 / $164.77	Facility		$91.91	$107.41	$164.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $138.49 / $157.38	Professional		$59.10	$138.49	$157.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $51.43	Facility		$42.13	$42.13	$51.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $244.29	Facility		$42.13	$42.13	$244.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $40.07 / $85.66	Professional		$22.98	$40.07	$85.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $50.00 / $85.00	Professional		$20.85	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $51.43	Facility		$42.13	$42.13	$51.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $122.64 / $174.90	Professional		$68.34	$122.64	$174.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $102.86 / $102.86 / $244.29	Facility		$102.86	$102.86	$244.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $28.71 / $28.71	Professional		$28.71	$28.71	$28.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $109.55 / $109.55	Professional		$109.55	$109.55	$109.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $270.01 / $270.01 / $270.01	Professional		$270.01	$270.01	$270.01
United Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $32.06 / $85.66	Professional		$22.98	$32.06	$85.66