Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.08 / $164.65 / $258.94	Facility		$62.08	$164.65	$258.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.31 / $53.91 / $123.29	Professional		$38.31	$53.91	$123.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $49.73 / $61.70	Professional		$44.75	$49.73	$61.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.70 / $83.20 / $83.20	Facility		$63.70	$83.20	$83.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.57 / $93.55 / $133.72	Facility		$51.57	$93.55	$133.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $84.23 / $95.71	Professional		$41.02	$84.23	$95.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.71 / $39.71 / $58.61	Facility		$39.71	$39.71	$58.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $79.62 / $79.62 / $79.62	Professional		$79.62	$79.62	$79.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.56 / $82.76 / $177.75	Facility		$50.56	$82.76	$177.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $55.49 / $79.62	Professional		$49.05	$55.49	$79.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $65.00 / $95.33	Professional		$39.07	$65.00	$95.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $39.71 / $39.71 / $58.61	Facility		$39.71	$39.71	$58.61
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $79.62 / $79.62 / $79.62	Professional		$79.62	$79.62	$79.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.56 / $119.00	Professional		$39.81	$60.56	$119.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $170.54	Facility		$170.54	$170.54	$170.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $54.60	Professional		$54.60	$54.60	$54.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $55.89 / $55.89	Professional		$40.07	$55.89	$55.89
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $55.43 / $80.44	Professional		$39.81	$55.43	$80.44