Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Facility		$39.86	$39.86	$39.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $40.86 / $55.09	Professional		$37.21	$40.86	$55.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $120.17 / $274.81	Professional		$62.13	$120.17	$274.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.18 / $182.29 / $182.29	Facility		$85.18	$182.29	$182.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.51 / $196.92 / $261.72	Facility		$168.51	$196.92	$261.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $70.13 / $87.66	Professional		$43.49	$70.13	$87.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $55.09 / $143.75	Facility		$39.86	$55.09	$143.75
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $48.77 / $85.18	Professional		$48.77	$48.77	$85.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $55.09 / $143.75	Facility		$39.86	$55.09	$143.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $46.10 / $107.92	Professional		$39.60	$46.10	$107.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $90.63	Professional		$50.00	$70.00	$90.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $55.09 / $143.75	Facility		$39.86	$55.09	$143.75
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $48.77 / $85.18	Professional		$48.77	$48.77	$85.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $166.32 / $216.80	Professional		$90.85	$166.32	$216.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $135.72 / $138.80 / $382.31	Facility		$135.72	$138.80	$382.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $309.64 / $397.13	Professional		$43.49	$309.64	$397.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $42.49 / $70.81	Professional		$30.10	$42.49	$70.81