Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.77 / $55.77 / $55.77	Facility		$55.77	$55.77	$55.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.77 / $58.66 / $75.00	Professional		$55.77	$58.66	$75.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.03 / $152.68 / $348.00	Professional		$102.03	$152.68	$348.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.03 / $254.72 / $254.72	Facility		$119.03	$254.72	$254.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.30 / $284.32 / $377.88	Facility		$243.30	$284.32	$377.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $90.38 / $112.97	Professional		$47.79	$90.38	$112.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $55.77 / $77.06 / $201.00	Facility		$55.77	$77.06	$201.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $119.03 / $119.03	Professional		$119.03	$119.03	$119.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.77 / $77.06 / $201.00	Facility		$55.77	$77.06	$201.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.34 / $67.09 / $150.81	Professional		$55.34	$67.09	$150.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $126.65	Professional		$50.00	$70.00	$126.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $55.77 / $77.06 / $201.00	Facility		$55.77	$77.06	$201.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $119.03 / $119.03	Professional		$119.03	$119.03	$119.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $127.02 / $232.54 / $303.12	Professional		$127.02	$232.54	$303.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $189.78 / $194.07 / $534.52	Facility		$189.78	$194.07	$534.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $432.95 / $555.50	Professional		$47.79	$432.95	$555.50
United Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $59.38 / $98.96	Professional		$42.06	$59.38	$98.96