Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $35.92	Facility		$35.90	$35.90	$35.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $35.92	Professional		$35.92	$35.92	$35.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $35.92 / $153.85	Professional		$14.37	$35.92	$153.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.63 / $54.63 / $54.63	Facility		$54.63	$54.63	$54.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.33 / $103.08 / $154.75	Facility		$86.33	$103.08	$154.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $96.72 / $109.91	Professional		$38.59	$96.72	$109.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $39.51 / $125.72	Facility		$35.92	$39.51	$125.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $43.10 / $125.72	Facility		$35.92	$43.10	$125.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $22.99 / $129.28	Professional		$17.96	$22.99	$129.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $39.51 / $125.72	Facility		$35.92	$39.51	$125.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.94 / $85.61 / $120.08	Professional		$59.94	$85.61	$120.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $71.84 / $170.62 / $170.62	Facility		$71.84	$170.62	$170.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $143.68 / $143.68 / $178.88	Professional		$143.68	$143.68	$178.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $35.90 / $76.48	Professional		$35.90	$35.90	$76.48
Security Health Facility/Professional Facility Modifier Low / Median / High Price $43.09 / $43.09 / $43.09	Facility		$43.09	$43.09	$43.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $35.90 / $196.12	Professional		$35.90	$35.90	$196.12
United Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $22.99 / $66.86	Professional		$15.61	$22.99	$66.86