Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.56 / $45.56 / $45.56	Facility		$45.56	$45.56	$45.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $53.00 / $67.30	Professional		$45.56	$53.00	$67.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $93.66 / $151.85	Professional		$79.61	$93.66	$151.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.51 / $71.51 / $71.51	Facility		$71.51	$71.51	$71.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $270.00 / $377.88	Facility		$75.05	$270.00	$377.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $101.25 / $126.56	Professional		$54.79	$101.25	$126.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $68.34 / $99.18	Facility		$44.33	$68.34	$99.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $75.62 / $75.62	Professional		$75.62	$75.62	$75.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.56 / $99.18 / $472.60	Facility		$45.56	$99.18	$472.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $70.45 / $115.08	Professional		$52.33	$70.45	$115.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $111.88	Professional		$50.00	$65.00	$111.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $68.34 / $99.18	Facility		$44.33	$68.34	$99.18
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $75.62 / $75.62	Professional		$75.62	$75.62	$75.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.76 / $210.61 / $273.45	Professional		$114.76	$210.61	$273.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $170.12 / $472.60	Facility		$75.05	$170.12	$472.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $75.05 / $625.45	Professional		$54.79	$75.05	$625.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $117.69 / $135.69 / $138.46	Professional		$117.69	$135.69	$138.46
United Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $67.45 / $102.04	Professional		$48.18	$67.45	$102.04