Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.74 / $46.74 / $46.74	Facility		$46.74	$46.74	$46.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $42.49 / $47.07	Professional		$19.42	$42.49	$47.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.89 / $51.89 / $63.61	Professional		$51.89	$51.89	$63.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.41 / $119.41 / $119.41	Facility		$119.41	$119.41	$119.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.59 / $174.80 / $198.64	Facility		$149.59	$174.80	$198.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $81.09 / $105.60	Professional		$22.57	$81.09	$105.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.76 / $46.74 / $55.80	Facility		$40.76	$46.74	$55.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.38 / $49.08 / $58.59	Facility		$39.38	$49.08	$58.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $27.84 / $51.99	Professional		$19.55	$27.84	$51.99
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 $40.76 / $46.74 / $55.80	Facility		$40.76	$46.74	$55.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $83.70 / $136.33	Professional		$51.80	$83.70	$136.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $113.27 / $113.27 / $250.01	Facility		$113.27	$113.27	$250.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $245.21 / $312.20	Professional		$22.57	$245.21	$312.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $55.80 / $55.80	Professional		$55.80	$55.80	$55.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $16.88 / $55.80	Professional		$15.94	$16.88	$55.80
United Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $26.68 / $44.34	Professional		$18.37	$26.68	$44.34