Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.05 / $101.05 / $101.05	Facility		$101.05	$101.05	$101.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $101.05 / $107.92	Professional		$98.11	$101.05	$107.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $147.16	Professional		$98.11	$98.11	$147.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.33 / $155.99 / $156.97	Facility		$134.33	$155.99	$156.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.36 / $260.30 / $355.77	Facility		$203.36	$260.30	$355.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.04 / $98.11 / $121.97	Professional		$96.04	$98.11	$121.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $101.05 / $168.77	Facility		$98.11	$101.05	$168.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $103.41 / $200.03	Facility		$100.40	$103.41	$200.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $100.40 / $282.39	Professional		$100.40	$100.40	$282.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $229.99	Professional		$50.00	$70.00	$229.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $101.05 / $168.77	Facility		$98.11	$101.05	$168.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $104.00 / $231.26	Professional		$98.10	$104.00	$231.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $94.26 / $240.04 / $1,059.00	Facility		$94.26	$240.04	$1,059.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $254.16 / $1,073.11	Professional		$98.11	$254.16	$1,073.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $137.75 / $137.75 / $137.75	Professional		$137.75	$137.75	$137.75
United Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $134.33	Professional		$98.11	$98.11	$134.33