Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $78.37 / $78.37	Facility		$78.37	$78.37	$78.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $78.37 / $83.70	Professional		$76.09	$78.37	$83.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $114.13	Professional		$76.09	$76.09	$114.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.17 / $121.74 / $121.74	Facility		$104.17	$121.74	$121.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.86 / $235.73 / $334.12	Facility		$128.86	$235.73	$334.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $109.97 / $184.70	Professional		$76.09	$109.97	$184.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $79.23 / $130.90	Facility		$76.09	$79.23	$130.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $81.59 / $164.46	Facility		$79.23	$81.59	$164.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $79.23 / $333.68	Professional		$79.23	$79.23	$333.68
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 $76.09 / $79.23 / $130.90	Facility		$76.09	$79.23	$130.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $97.31 / $343.62	Professional		$76.09	$97.31	$343.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $285.18 / $671.00	Facility		$86.35	$285.18	$671.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $301.95 / $1,274.90	Professional		$76.09	$301.95	$1,274.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $106.83 / $106.83	Professional		$106.83	$106.83	$106.83
United Facility/Professional Facility Modifier Low / Median / High Price $185.65 / $185.65 / $202.06	Facility		$185.65	$185.65	$202.06
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $104.18	Professional		$76.09	$76.09	$104.18