Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.59 / $61.59 / $61.59	Facility		$61.59	$61.59	$61.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.59 / $71.66 / $91.00	Professional		$61.59	$71.66	$91.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.89 / $157.91 / $193.87	Professional		$123.89	$157.91	$193.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.69 / $96.69 / $96.69	Facility		$96.69	$96.69	$96.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $365.00 / $510.84	Facility		$56.50	$365.00	$510.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $136.88 / $171.09	Professional		$41.25	$136.88	$171.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $92.39 / $134.10	Facility		$59.84	$92.39	$134.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $102.08 / $102.08 / $102.08	Professional		$102.08	$102.08	$102.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.59 / $134.10 / $638.99	Facility		$61.59	$134.10	$638.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $95.08 / $155.60	Professional		$70.75	$95.08	$155.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $316.33	Professional		$50.00	$65.00	$316.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $92.39 / $134.10	Facility		$59.84	$92.39	$134.10
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $102.08 / $102.08 / $102.08	Professional		$102.08	$102.08	$102.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $284.76 / $369.74	Professional		$155.16	$284.76	$369.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $230.00 / $638.99	Facility		$56.50	$230.00	$638.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $56.50 / $846.32	Professional		$41.25	$56.50	$846.32
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $91.20 / $137.96	Professional		$61.44	$91.20	$137.96