Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.36 / $44.36 / $44.36	Facility		$44.36	$44.36	$44.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $51.61 / $82.30	Professional		$44.36	$51.61	$82.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $82.15 / $148.74	Professional		$82.15	$82.15	$148.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.63 / $69.63 / $69.63	Facility		$69.63	$69.63	$69.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $263.00 / $368.09	Facility		$69.84	$263.00	$368.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $98.63 / $123.28	Professional		$50.99	$98.63	$123.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.24 / $66.54 / $96.58	Facility		$43.24	$66.54	$96.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $73.75 / $73.75	Professional		$73.75	$73.75	$73.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.36 / $96.58 / $460.20	Facility		$44.36	$96.58	$460.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $68.72 / $112.06	Professional		$50.95	$68.72	$112.06
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 $43.24 / $66.54 / $96.58	Facility		$43.24	$66.54	$96.58
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $73.75 / $73.75	Professional		$73.75	$73.75	$73.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $111.75 / $205.09 / $266.29	Professional		$111.75	$205.09	$266.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $165.66 / $460.20	Facility		$69.84	$165.66	$460.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $69.84 / $611.32	Professional		$50.99	$69.84	$611.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.74 / $132.29 / $134.99	Professional		$114.74	$132.29	$134.99
United Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $57.53 / $102.41	Professional		$47.40	$57.53	$102.41