Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $71.95 / $71.95	Facility		$71.95	$71.95	$71.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $66.63 / $73.73	Professional		$32.34	$66.63	$73.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $79.89 / $97.92	Professional		$77.31	$79.89	$97.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.83 / $183.83 / $183.83	Facility		$183.83	$183.83	$183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.69 / $269.58 / $306.33	Facility		$230.69	$269.58	$306.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $124.69 / $162.58	Professional		$37.59	$124.69	$162.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $71.95 / $85.90	Facility		$65.59	$71.95	$85.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.73 / $75.55 / $133.15	Facility		$62.73	$75.55	$133.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $42.86 / $80.04	Professional		$32.56	$42.86	$80.04
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 $62.73 / $71.95 / $85.90	Facility		$62.73	$71.95	$85.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $128.85 / $227.87	Professional		$85.90	$128.85	$227.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $174.38 / $174.38 / $411.51	Facility		$174.38	$174.38	$411.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $377.51 / $485.71	Professional		$37.59	$377.51	$485.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $85.90 / $85.90	Professional		$85.90	$85.90	$85.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $38.68 / $85.90	Professional		$38.68	$38.68	$85.90
United Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $41.07 / $71.43	Professional		$30.59	$41.07	$71.43