Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.77 / $55.77 / $55.77	Facility		$55.77	$55.77	$55.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $55.77 / $58.94	Professional		$26.80	$55.77	$58.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $61.93 / $75.91	Professional		$61.93	$61.93	$75.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.50 / $142.50 / $142.50	Facility		$142.50	$142.50	$142.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.32 / $209.55 / $238.13	Facility		$179.32	$209.55	$238.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $96.56 / $126.03	Professional		$31.15	$96.56	$126.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.85 / $55.77 / $66.59	Facility		$54.85	$55.77	$66.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.64 / $58.56 / $103.21	Facility		$48.64	$58.56	$103.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $33.22 / $62.05	Professional		$26.98	$33.22	$62.05
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 $48.64 / $55.77 / $66.59	Facility		$48.64	$55.77	$66.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $102.50 / $188.92	Professional		$66.59	$102.50	$188.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $135.18 / $135.18 / $340.14	Facility		$135.18	$135.18	$340.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $292.64 / $407.81	Professional		$31.15	$292.64	$407.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $66.59 / $66.59	Professional		$66.59	$66.59	$66.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $66.59	Professional		$24.99	$24.99	$66.59
United Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $32.67 / $55.37	Professional		$25.35	$32.67	$55.37