Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.63 / $41.63 / $41.63	Facility		$41.63	$41.63	$41.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $48.43 / $77.23	Professional		$41.63	$48.43	$77.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $131.22	Professional		$39.00	$39.00	$131.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $65.34 / $65.34	Facility		$65.34	$65.34	$65.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $247.00 / $345.69	Facility		$37.95	$247.00	$345.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $92.63 / $115.78	Professional		$27.70	$92.63	$115.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.42 / $62.45 / $90.64	Facility		$40.42	$62.45	$90.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $68.94 / $68.94	Professional		$68.94	$68.94	$68.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.63 / $90.64 / $431.88	Facility		$41.63	$90.64	$431.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $64.29 / $105.17	Professional		$47.82	$64.29	$105.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $55.00 / $85.00	Professional		$25.69	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $40.42 / $62.45 / $90.64	Facility		$40.42	$62.45	$90.64
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $68.94 / $68.94	Professional		$68.94	$68.94	$68.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $192.47 / $249.90	Professional		$104.87	$192.47	$249.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $155.46 / $431.88	Facility		$37.95	$155.46	$431.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $37.95 / $572.44	Professional		$27.70	$37.95	$572.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $83.83 / $96.65 / $98.62	Professional		$83.83	$96.65	$98.62
United Facility/Professional Professional Modifier Low / Median / High Price $41.53 / $52.84 / $93.25	Professional		$41.53	$52.84	$93.25