Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.93 / $39.93 / $39.93	Facility		$39.93	$39.93	$39.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $46.45 / $58.99	Professional		$39.93	$46.45	$58.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $70.91 / $133.11	Professional		$70.91	$70.91	$133.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.68 / $62.68 / $62.68	Facility		$62.68	$62.68	$62.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $237.00 / $331.70	Facility		$47.13	$237.00	$331.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $114.00 / $142.50	Professional		$34.40	$114.00	$142.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.85 / $59.90 / $86.93	Facility		$38.85	$59.90	$86.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $66.27 / $66.27	Professional		$66.27	$66.27	$66.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.93 / $86.93 / $414.18	Facility		$39.93	$86.93	$414.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $61.58 / $100.85	Professional		$45.86	$61.58	$100.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $38.85 / $59.90 / $86.93	Facility		$38.85	$59.90	$86.93
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $66.27 / $66.27	Professional		$66.27	$66.27	$66.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.57 / $184.58 / $239.66	Professional		$100.57	$184.58	$239.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $149.08 / $414.18	Facility		$47.13	$149.08	$414.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $47.13 / $549.48	Professional		$34.40	$47.13	$549.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $90.25 / $104.06 / $106.18	Professional		$90.25	$104.06	$106.18
United Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $50.67 / $89.43	Professional		$42.23	$50.67	$89.43