Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $113.97 / $430.67	Facility		$21.54	$113.97	$430.67
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $133.69 / $148.03 / $289.10	Facility	CQ	$133.69	$148.03	$289.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $26.96 / $263.50	Professional		$13.52	$26.96	$263.50
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $124.60 / $409.70 / $444.08	Professional	CO	$124.60	$409.70	$444.08
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.89 / $51.14 / $280.50	Professional	CQ	$17.89	$51.14	$280.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $22.99 / $75.44	Professional		$18.75	$22.99	$75.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.03 / $54.20 / $54.20	Facility		$26.03	$54.20	$54.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.03 / $33.79	Professional		$26.00	$26.03	$33.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $82.94 / $96.93	Facility		$65.00	$82.94	$96.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $69.70 / $108.10	Professional		$25.09	$69.70	$108.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $26.40 / $56.76	Facility		$18.30	$26.40	$56.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $91.29 / $141.22	Facility		$22.08	$91.29	$141.22
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $53.31 / $108.09 / $108.09	Facility	CQ	$53.31	$108.09	$108.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $30.22 / $134.68	Professional		$25.29	$30.22	$134.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $65.00 / $95.65	Professional		$26.40	$65.00	$95.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $26.40 / $56.76	Facility		$18.30	$26.40	$56.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $67.16 / $90.87	Professional		$36.26	$67.16	$90.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57.29 / $75.00 / $127.16	Facility		$57.29	$75.00	$127.16
Quartz Facility/Professional Facility Modifier CQ Low / Median / High Price $48.70 / $55.70 / $108.09	Facility	CQ	$48.70	$55.70	$108.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $138.69 / $171.17	Professional		$28.83	$138.69	$171.17
Security Health Facility/Professional Facility Modifier Low / Median / High Price $59.22 / $59.22 / $59.22	Facility		$59.22	$59.22	$59.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $76.14 / $76.14	Professional		$36.85	$76.14	$76.14
United Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $29.08 / $66.59	Professional		$24.54	$29.08	$66.59