Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.39 / $32.15 / $112.16	Facility		$23.39	$32.15	$112.16
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $94.83 / $142.46 / $289.10	Facility	CQ	$94.83	$142.46	$289.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $23.39 / $116.00	Professional		$14.40	$23.39	$116.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $19.46 / $38.93 / $587.05	Professional	CQ	$19.46	$38.93	$587.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $24.83 / $78.55	Professional		$20.37	$24.83	$78.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.56 / $58.57 / $58.57	Facility		$27.56	$58.57	$58.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.56 / $35.79	Professional		$27.54	$27.56	$35.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $87.98 / $105.30	Facility		$65.00	$87.98	$105.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $75.70 / $106.98	Professional		$25.83	$75.70	$106.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.88 / $28.34 / $62.16	Facility		$19.88	$28.34	$62.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.39 / $59.01 / $131.82	Facility		$23.39	$59.01	$131.82
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $56.39 / $114.53 / $114.53	Facility	CQ	$56.39	$114.53	$114.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $29.83 / $186.26	Professional		$26.38	$29.83	$186.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.73 / $65.00 / $102.66	Professional		$36.73	$65.00	$102.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.88 / $28.12 / $60.14	Facility		$19.88	$28.12	$60.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $68.65 / $96.28	Professional		$32.94	$68.65	$96.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.69 / $75.00 / $134.74	Facility		$60.69	$75.00	$134.74
Quartz Facility/Professional Facility Modifier CQ Low / Median / High Price $51.59 / $60.50 / $114.53	Facility	CQ	$51.59	$60.50	$114.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $149.15 / $186.26	Professional		$31.32	$149.15	$186.26
Security Health Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $39.47	Facility		$39.47	$39.47	$39.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $82.70 / $82.70	Professional		$34.68	$82.70	$82.70
United Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $29.83 / $81.44	Professional		$26.36	$29.83	$81.44