Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.24 / $52.24 / $52.24	Facility		$52.24	$52.24	$52.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $52.24 / $55.79	Professional		$50.72	$52.24	$55.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $76.08	Professional		$50.72	$50.72	$76.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $80.64 / $81.15	Facility		$69.44	$80.64	$81.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.02 / $113.45 / $160.80	Facility		$62.02	$113.45	$160.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $69.56 / $89.36	Professional		$50.71	$69.56	$89.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.41 / $52.24 / $79.93	Facility		$45.41	$52.24	$79.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.41 / $46.77 / $84.19	Facility		$45.41	$46.77	$84.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $45.41 / $125.61	Professional		$45.41	$45.41	$125.61
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 $45.41 / $52.24 / $79.93	Facility		$45.41	$52.24	$79.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $59.57 / $127.51	Professional		$50.71	$59.57	$127.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $115.00 / $229.79	Facility		$65.00	$115.00	$229.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $73.65 / $229.79	Professional		$50.71	$73.65	$229.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $71.20 / $71.20	Professional		$71.20	$71.20	$71.20
United Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $65.94	Professional		$50.72	$50.72	$65.94