Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.63 / $52.63 / $52.63	Facility		$52.63	$52.63	$52.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $50.84 / $56.10	Professional		$25.41	$50.84	$56.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $58.44 / $71.63	Professional		$58.44	$58.44	$71.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Facility		$134.47	$134.47	$134.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.51 / $196.92 / $223.77	Facility		$168.51	$196.92	$223.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $90.94 / $118.94	Professional		$29.54	$90.94	$118.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.78 / $53.41 / $77.40	Facility		$51.78	$53.41	$77.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $59.81 / $77.40	Facility		$45.89	$59.81	$77.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $31.35 / $58.55	Professional		$25.59	$31.35	$58.55
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 $46.18 / $53.28 / $65.98	Facility		$46.18	$53.28	$65.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $96.71 / $179.18	Professional		$62.84	$96.71	$179.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $127.57 / $127.57 / $322.73	Facility		$127.57	$127.57	$322.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $276.17 / $393.84	Professional		$29.54	$276.17	$393.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $62.84 / $62.84	Professional		$62.84	$62.84	$62.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $58.31 / $68.59	Professional		$58.31	$58.31	$68.59
United Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $31.35 / $50.05	Professional		$24.04	$31.35	$50.05