Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $468.73 / $951.14	Facility		$54.67	$468.73	$951.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $54.67 / $182.00	Professional		$53.07	$54.67	$182.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $71.65	Professional		$53.08	$53.08	$71.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.67 / $72.67 / $84.93	Facility		$72.67	$72.67	$84.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.90 / $128.84 / $184.17	Facility		$45.90	$128.84	$184.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $90.53 / $102.88	Professional		$54.08	$90.53	$102.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.36 / $53.08 / $116.90	Facility		$48.36	$53.08	$116.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $28.06 / $28.06	Professional		$28.06	$28.06	$28.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.73 / $103.60 / $125.51	Facility		$52.73	$103.60	$125.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $69.00	Professional		$53.08	$53.08	$69.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $53.08 / $65.00	Professional		$49.20	$53.08	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $48.36 / $53.08 / $116.90	Facility		$48.36	$53.08	$116.90
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $28.06 / $28.06	Professional		$28.06	$28.06	$28.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $125.07 / $180.40	Professional		$53.08	$125.07	$180.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $282.33 / $282.33 / $282.33	Facility		$282.33	$282.33	$282.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $45.90 / $45.90	Professional		$45.90	$45.90	$45.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $74.52 / $103.81	Professional		$65.56	$74.52	$103.81
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $69.00	Professional		$53.08	$53.08	$69.00