Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.21 / $54.21 / $54.21	Facility		$54.21	$54.21	$54.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $52.36 / $55.95	Professional		$25.64	$52.36	$55.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $60.19 / $73.78	Professional		$58.64	$60.19	$73.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.50 / $138.50 / $138.50	Facility		$138.50	$138.50	$138.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.92 / $203.23 / $230.95	Facility		$173.92	$203.23	$230.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $93.75 / $122.49	Professional		$29.80	$93.75	$122.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.70 / $54.21 / $64.72	Facility		$52.70	$54.21	$64.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.26 / $56.92 / $100.32	Facility		$47.26	$56.92	$100.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $32.29 / $60.31	Professional		$25.81	$32.29	$60.31
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 $47.26 / $54.21 / $64.72	Facility		$47.26	$54.21	$64.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.72 / $98.98 / $180.15	Professional		$64.72	$98.98	$180.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $131.38 / $131.38 / $327.08	Facility		$131.38	$131.38	$327.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $284.39 / $397.30	Professional		$29.80	$284.39	$397.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.72 / $64.72 / $64.72	Professional		$64.72	$64.72	$64.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $44.78 / $64.72	Professional		$42.29	$44.78	$64.72
United Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $31.40 / $51.55	Professional		$24.25	$31.40	$51.55