Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.25 / $123.25 / $123.25	Facility		$123.25	$123.25	$123.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.85 / $123.25 / $228.42	Professional		$87.85	$123.25	$228.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $170.84 / $341.87	Professional		$83.34	$170.84	$341.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.75 / $90.04 / $120.05	Facility		$85.75	$90.04	$120.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $116.40 / $116.40	Professional		$116.40	$116.40	$116.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $67.39 / $103.38	Facility		$57.67	$67.39	$103.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $97.50 / $110.80	Professional		$25.84	$97.50	$110.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.09 / $63.12 / $123.25	Facility		$20.09	$63.12	$123.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.09 / $45.34 / $123.34	Facility		$20.09	$45.34	$123.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $79.19 / $535.96	Professional		$26.14	$79.19	$535.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $181.50	Professional		$50.00	$70.00	$181.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.09 / $63.12 / $123.34	Facility		$20.09	$63.12	$123.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $106.16 / $194.83 / $271.70	Professional		$106.16	$194.83	$271.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $437.21 / $437.21 / $437.21	Facility		$437.21	$437.21	$437.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $423.00 / $535.96	Professional		$73.14	$423.00	$535.96
United Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $74.91 / $136.34	Professional		$26.14	$74.91	$136.34