Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.29 / $94.29 / $94.29	Facility		$94.29	$94.29	$94.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $94.29 / $100.69	Professional		$91.54	$94.29	$100.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $137.31	Professional		$91.54	$91.54	$137.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.33 / $145.55 / $146.46	Facility		$125.33	$145.55	$146.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.68 / $160.40 / $227.34	Facility		$87.68	$160.40	$227.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $91.54 / $112.86	Professional		$71.95	$91.54	$112.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $94.29 / $144.26	Facility		$67.72	$94.29	$144.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $69.75 / $125.55	Facility		$67.72	$69.75	$125.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $67.72 / $211.87	Professional		$67.72	$67.72	$211.87
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 $67.72 / $94.29 / $144.26	Facility		$67.72	$94.29	$144.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.55 / $172.72	Professional		$91.54	$91.55	$172.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $136.00 / $304.81	Facility		$68.56	$136.00	$304.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $103.63 / $304.81	Professional		$91.54	$103.63	$304.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $128.52 / $128.52 / $128.52	Professional		$128.52	$128.52	$128.52
United Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $130.21	Professional		$91.54	$91.54	$130.21