Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.51 / $80.51 / $80.51	Facility		$80.51	$80.51	$80.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $80.51 / $85.99	Professional		$78.17	$80.51	$85.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $78.17 / $117.25	Professional		$78.17	$78.17	$117.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.02 / $124.29 / $125.07	Facility		$107.02	$124.29	$125.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.92 / $210.23 / $297.97	Facility		$114.92	$210.23	$297.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $105.42 / $137.63	Professional		$78.17	$105.42	$137.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $78.17 / $81.30 / $123.18	Facility		$78.17	$81.30	$123.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.86 / $87.40 / $133.72	Facility		$84.86	$87.40	$133.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $84.86 / $178.21	Professional		$84.86	$84.86	$178.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $78.17 / $81.30 / $123.18	Facility		$78.17	$81.30	$123.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.16 / $115.19 / $268.99	Professional		$78.16	$115.19	$268.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $82.76 / $110.09 / $382.78	Facility		$82.76	$110.09	$382.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $122.69 / $382.78	Professional		$78.17	$122.69	$382.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $109.75 / $109.75	Professional		$109.75	$109.75	$109.75
United Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $78.17 / $101.62	Professional		$78.17	$78.17	$101.62