Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.06 / $78.06 / $78.06	Facility		$78.06	$78.06	$78.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $78.06 / $83.37	Professional		$75.79	$78.06	$83.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $155.36	Professional		$75.79	$75.79	$155.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.76 / $121.26 / $121.26	Facility		$103.76	$121.26	$121.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.98 / $354.86 / $502.96	Facility		$193.98	$354.86	$502.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $91.08 / $834.29	Professional		$75.05	$91.08	$834.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $79.58 / $130.34	Facility		$75.79	$79.58	$130.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $85.67 / $170.53	Facility		$83.18	$85.67	$170.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $1,142.97	Professional		$83.18	$83.18	$1,142.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $79.58 / $130.34	Facility		$75.79	$79.58	$130.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $110.82 / $783.47	Professional		$75.79	$110.82	$783.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $969.00 / $1,140.00	Facility		$71.50	$969.00	$1,140.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $969.00 / $1,311.00	Professional		$75.79	$969.00	$1,311.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $106.41 / $106.41 / $106.41	Professional		$106.41	$106.41	$106.41
United Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $98.53	Professional		$75.79	$75.79	$98.53