Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.75 / $27.75 / $27.75	Facility		$27.75	$27.75	$27.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $27.75 / $29.64	Professional		$26.94	$27.75	$29.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $44.26	Professional		$26.94	$26.94	$44.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.88 / $43.10 / $66.27	Facility		$36.88	$43.10	$66.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.40 / $84.89 / $120.31	Facility		$46.40	$84.89	$120.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $29.58 / $76.58	Professional		$24.37	$29.58	$76.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $27.75 / $41.35	Facility		$26.09	$27.75	$41.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $26.87 / $41.11	Facility		$26.09	$26.87	$41.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $26.09 / $119.05	Professional		$26.09	$26.09	$119.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $27.75 / $41.35	Facility		$26.09	$27.75	$41.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $33.81 / $104.66	Professional		$26.94	$33.81	$104.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $85.00 / $133.71	Facility		$65.00	$85.00	$133.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $47.44 / $133.71	Professional		$26.94	$47.44	$133.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $37.82 / $90.87	Professional		$37.82	$37.82	$90.87
United Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $35.02	Professional		$26.94	$26.94	$35.02