Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $72.81 / $72.81	Facility		$72.81	$72.81	$72.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $72.81 / $77.77	Professional		$70.70	$72.81	$77.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $106.05	Professional		$70.70	$70.70	$106.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.79 / $113.12 / $113.12	Facility		$96.79	$113.12	$113.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.73 / $233.66 / $331.18	Facility		$127.73	$233.66	$331.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $93.66 / $217.95	Professional		$70.70	$93.66	$217.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $72.81 / $121.98	Facility		$70.70	$72.81	$121.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.04 / $73.17 / $156.82	Facility		$71.04	$73.17	$156.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $71.04 / $303.64	Professional		$71.04	$71.04	$303.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $179.44	Professional		$50.00	$65.00	$179.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $72.81 / $121.98	Facility		$70.70	$72.81	$121.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.69 / $83.25 / $360.05	Professional		$70.69	$83.25	$360.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $73.54 / $300.00 / $344.25	Facility		$73.54	$300.00	$344.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $220.43 / $453.26	Professional		$70.70	$220.43	$453.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $99.26 / $99.26 / $99.26	Professional		$99.26	$99.26	$99.26
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $91.91	Professional		$70.70	$70.70	$91.91