Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.29 / $69.29 / $69.29	Facility		$69.29	$69.29	$69.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $69.29 / $74.00	Professional		$67.27	$69.29	$74.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $114.35	Professional		$67.27	$67.27	$114.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.10 / $106.96 / $107.63	Facility		$92.10	$106.96	$107.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $7.21 / $12.40	Facility		$3.94	$7.21	$12.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $67.27 / $82.34	Professional		$64.84	$67.27	$82.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $69.29 / $106.01	Facility		$66.31	$69.29	$106.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $68.31 / $122.96	Facility		$66.31	$68.31	$122.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $66.31 / $221.12	Professional		$66.31	$66.31	$221.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $155.22	Professional		$50.00	$65.00	$155.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $69.29 / $106.01	Facility		$66.31	$69.29	$106.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $72.98 / $186.45	Professional		$67.27	$72.98	$186.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $176.32 / $768.75	Facility		$65.00	$176.32	$768.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $184.50 / $779.00	Professional		$67.27	$184.50	$779.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $94.45 / $94.45	Professional		$94.45	$94.45	$94.45
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $92.11	Professional		$67.27	$67.27	$92.11