Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $291.02 / $651.10	Facility		$41.87	$291.02	$651.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.87 / $133.44	Professional		$40.65	$41.87	$133.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $63.00	Professional		$40.65	$40.65	$63.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.66 / $65.04 / $100.00	Facility		$55.66	$65.04	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $62.24 / $113.87	Facility		$40.65	$62.24	$113.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $62.42 / $127.40	Professional		$40.65	$62.42	$127.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.81 / $41.20 / $62.81	Facility		$29.81	$41.20	$62.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $34.74 / $34.74	Professional		$34.74	$34.74	$34.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.81 / $42.44 / $102.68	Facility		$29.81	$42.44	$102.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $41.20 / $800.28	Professional		$41.20	$41.20	$800.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $58.40 / $85.00	Professional		$40.65	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $29.81 / $41.20 / $73.08	Facility		$29.81	$41.20	$73.08
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $34.74 / $34.74	Professional		$34.74	$34.74	$34.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $50.59 / $141.90	Professional		$40.65	$50.59	$141.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $183.69	Facility		$85.00	$85.00	$183.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $76.54 / $800.28	Professional		$40.65	$76.54	$800.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $57.07 / $61.86	Professional		$36.52	$57.07	$61.86
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $56.16	Professional		$40.65	$40.65	$56.16