Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.49 / $40.49 / $40.49	Facility		$40.49	$40.49	$40.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $40.49 / $43.24	Professional		$39.31	$40.49	$43.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $58.96	Professional		$39.31	$39.31	$58.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.82 / $62.50 / $62.90	Facility		$53.82	$62.50	$62.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.59 / $323.05 / $457.88	Facility		$176.59	$323.05	$457.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $89.46 / $168.05	Professional		$39.31	$89.46	$168.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $41.28 / $61.95	Facility		$39.31	$41.28	$61.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.55 / $42.80 / $77.04	Facility		$41.55	$42.80	$77.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $41.55 / $817.89	Professional		$41.55	$41.55	$817.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,085.17	Professional		$50.00	$70.00	$1,085.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $41.28 / $61.95	Facility		$39.31	$41.28	$61.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.32 / $180.28	Professional		$39.31	$39.32	$180.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $444.74 / $969.00 / $1,710.00	Facility		$444.74	$969.00	$1,710.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $1,208.40 / $3,990.00	Professional		$39.31	$1,208.40	$3,990.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $55.19 / $55.19 / $55.19	Professional		$55.19	$55.19	$55.19
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $55.92	Professional		$39.31	$39.31	$55.92