Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.26 / $69.26 / $69.26	Facility		$69.26	$69.26	$69.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $69.26 / $73.51	Professional		$31.83	$69.26	$73.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $76.90 / $94.26	Professional		$76.90	$76.90	$94.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.96 / $176.96 / $176.96	Facility		$176.96	$176.96	$176.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.58 / $260.10 / $295.57	Facility		$222.58	$260.10	$295.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $120.00 / $156.49	Professional		$37.00	$120.00	$156.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $69.26 / $82.69	Facility		$64.56	$69.26	$82.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.39 / $72.72 / $128.16	Facility		$60.39	$72.72	$128.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $41.25 / $77.05	Professional		$32.04	$41.25	$77.05
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 $60.39 / $69.26 / $82.69	Facility		$60.39	$69.26	$82.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $82.69 / $124.04 / $223.97	Professional		$82.69	$124.04	$223.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $167.86 / $167.86 / $406.22	Facility		$167.86	$167.86	$406.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $363.38 / $463.78	Professional		$37.00	$363.38	$463.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $82.69 / $82.69 / $82.69	Professional		$82.69	$82.69	$82.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $82.69	Professional		$39.00	$39.00	$82.69
United Facility/Professional Professional Modifier Low / Median / High Price $30.11 / $41.25 / $68.75	Professional		$30.11	$41.25	$68.75