Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.59 / $54.59 / $54.59	Facility		$54.59	$54.59	$54.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $54.59 / $58.30	Professional		$53.00	$54.59	$58.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $79.50	Professional		$53.00	$53.00	$79.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $84.80 / $84.80	Facility		$72.56	$84.80	$84.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,192.54 / $2,181.61 / $3,092.10	Facility		$1,192.54	$2,181.61	$3,092.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $111.52 / $524.54	Professional		$53.00	$111.52	$524.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $54.59 / $91.34	Facility		$53.00	$54.59	$91.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $54.59 / $116.90	Facility		$53.00	$54.59	$116.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $965.94	Professional		$53.00	$53.00	$965.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $54.59 / $91.34	Facility		$53.00	$54.59	$91.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $82.50 / $355.26	Professional		$53.00	$82.50	$355.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $99.11 / $1,140.00 / $1,140.00	Facility		$99.11	$1,140.00	$1,140.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $295.98 / $1,288.20	Professional		$53.00	$295.98	$1,288.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $74.41 / $74.41	Professional		$74.41	$74.41	$74.41
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $72.56	Professional		$53.00	$53.00	$72.56