Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $33.61 / $33.61	Professional		$33.61	$33.61	$33.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.84 / $63.84 / $63.84	Facility		$63.84	$63.84	$63.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.10 / $40.27 / $99.72	Facility		$39.10	$40.27	$99.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $39.19 / $70.15	Professional		$39.10	$39.19	$70.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $45.62 / $84.24	Facility		$38.02	$45.62	$84.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $48.67 / $94.23	Facility		$38.02	$48.67	$94.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $46.68 / $113.38	Professional		$33.89	$46.68	$113.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $39.90 / $128.87	Professional		$38.02	$39.90	$128.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $45.62 / $84.24	Facility		$38.02	$45.62	$84.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $91.63 / $130.90	Professional		$60.82	$91.63	$130.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $211.40 / $211.40 / $211.40	Facility		$211.40	$211.40	$211.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $31.89 / $31.89	Professional		$31.89	$31.89	$31.89
Security Health Facility/Professional Facility Modifier Low / Median / High Price $39.74 / $44.21 / $54.58	Facility		$39.74	$44.21	$54.58
United Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $41.74 / $109.23	Professional		$33.89	$41.74	$109.23