Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $419.15 / $1,849.81	Facility		$28.80	$419.15	$1,849.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $28.80 / $36.00	Professional		$28.80	$28.80	$36.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $31.42 / $107.02	Professional		$30.00	$31.42	$107.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.35 / $26.82 / $37.54	Facility		$25.35	$26.82	$37.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $90.11 / $142.15	Facility		$30.60	$90.11	$142.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $59.54 / $67.66	Professional		$30.60	$59.54	$67.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $28.80 / $36.00	Facility		$22.85	$28.80	$36.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $32.74 / $799.00	Facility		$22.85	$32.74	$799.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $48.00	Professional		$30.00	$30.00	$48.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $116.20	Professional		$55.00	$85.00	$116.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $29.88 / $36.00	Facility		$22.85	$29.88	$36.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $70.19 / $103.34	Professional		$1.31	$70.19	$103.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $38.15 / $162.00	Professional		$30.60	$38.15	$162.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $39.00	Professional		$30.00	$30.00	$39.00