Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.34 / $39.34 / $39.34	Facility		$39.34	$39.34	$39.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $38.00 / $85.84	Professional		$16.86	$38.00	$85.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $43.68 / $53.54	Professional		$43.68	$43.68	$53.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.52 / $100.52 / $100.52	Facility		$100.52	$100.52	$100.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.16 / $147.41 / $167.53	Facility		$126.16	$147.41	$167.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $67.97 / $88.90	Professional		$19.59	$67.97	$88.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.29 / $39.92 / $46.97	Facility		$34.29	$39.92	$46.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $41.31 / $49.32	Facility		$34.19	$41.31	$49.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $23.43 / $43.77	Professional		$16.97	$23.43	$43.77
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 $34.29 / $39.34 / $46.97	Facility		$34.29	$39.34	$46.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $70.45 / $118.80	Professional		$45.14	$70.45	$118.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.35 / $100.00 / $217.85	Facility		$95.35	$100.00	$217.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $206.42 / $261.22	Professional		$19.59	$206.42	$261.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $46.97 / $46.97	Professional		$46.97	$46.97	$46.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $16.88 / $46.97	Professional		$15.94	$16.88	$46.97
United Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $22.45 / $37.40	Professional		$15.94	$22.45	$37.40