Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $42.74 / $79.52	Facility		$42.74	$42.74	$79.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $74.31 / $138.43	Professional		$42.74	$74.31	$138.43
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $71.94 / $75.40 / $121.98	Professional	25	$71.94	$75.40	$121.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.21 / $116.54 / $243.86	Professional		$55.21	$116.54	$243.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.90 / $41.90 / $56.57	Facility		$41.90	$41.90	$56.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.79 / $76.79 / $104.62	Professional		$76.79	$76.79	$104.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.69 / $359.69 / $436.51	Facility		$359.69	$359.69	$436.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $91.77 / $194.94	Professional		$45.00	$91.77	$194.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $67.59 / $121.71	Facility		$42.74	$67.59	$121.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.08 / $66.61 / $121.71	Facility		$41.08	$66.61	$121.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $115.16 / $325.24	Professional		$71.06	$115.16	$325.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $93.15 / $200.74	Professional		$58.91	$93.15	$200.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $67.68 / $121.71	Facility		$42.74	$67.68	$121.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $135.54 / $244.42	Professional		$81.20	$135.54	$244.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $312.51 / $544.05	Professional		$69.77	$312.51	$544.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $75.63 / $146.96 / $276.00	Professional		$75.63	$146.96	$276.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $104.00 / $205.85	Professional		$72.70	$104.00	$205.85