Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $26.78 / $129.56	Facility		$26.78	$26.78	$129.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $26.62 / $91.18	Professional		$14.98	$26.62	$91.18
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $296.05 / $296.05 / $296.05	Professional	CQ	$296.05	$296.05	$296.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $27.44 / $100.65	Professional		$23.32	$27.44	$100.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $67.33 / $67.33	Facility		$31.69	$67.33	$67.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $31.71 / $41.22	Professional		$31.69	$31.71	$41.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $101.97 / $122.06	Facility		$65.00	$101.97	$122.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $81.02 / $108.10	Professional		$29.90	$81.02	$108.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.76 / $33.06 / $72.13	Facility		$22.76	$33.06	$72.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.67 / $38.77 / $155.94	Facility		$23.67	$38.77	$155.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $34.28 / $212.29	Professional		$30.22	$34.28	$212.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $32.31 / $70.31	Professional		$19.71	$32.31	$70.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.76 / $33.02 / $69.47	Facility		$22.76	$33.02	$69.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $86.94 / $175.71	Professional		$44.47	$86.94	$175.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $155.94	Facility		$65.00	$80.00	$155.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $171.40 / $212.29	Professional		$36.34	$171.40	$212.29
Security Health Facility/Professional Facility Modifier Low / Median / High Price $93.77 / $93.77 / $93.77	Facility		$93.77	$93.77	$93.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $95.67 / $95.67	Professional		$40.99	$95.67	$95.67
United Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $34.28 / $81.23	Professional		$30.37	$34.28	$81.23