Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.37 / $67.37 / $67.37	Facility		$67.37	$67.37	$67.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $67.37 / $71.95	Professional		$65.41	$67.37	$71.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $101.38	Professional		$65.41	$65.41	$101.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.55 / $104.66 / $160.91	Facility		$89.55	$104.66	$160.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.53 / $160.13 / $226.96	Facility		$87.53	$160.13	$226.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $83.30 / $118.00	Professional		$65.40	$83.30	$118.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $65.41 / $100.38	Facility		$40.70	$65.41	$100.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $66.06 / $101.06	Facility		$37.15	$66.06	$101.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $137.36	Professional		$65.41	$65.41	$137.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $65.41 / $100.38	Facility		$40.70	$65.41	$100.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $70.95 / $159.97	Professional		$65.40	$70.95	$159.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $87.01 / $288.80	Facility		$65.41	$87.01	$288.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $92.57 / $360.81	Professional		$65.40	$92.57	$360.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $91.84 / $97.25	Professional		$63.04	$91.84	$97.25
United Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $85.03	Professional		$65.41	$65.41	$85.03