Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $70.06 / $70.06	Facility		$70.06	$70.06	$70.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $70.06 / $75.28	Professional		$33.29	$70.06	$75.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.79 / $77.79 / $95.36	Professional		$77.79	$77.79	$95.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.01 / $179.01 / $179.01	Facility		$179.01	$179.01	$179.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.38 / $262.20 / $297.95	Facility		$224.38	$262.20	$297.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $121.41 / $158.31	Professional		$38.71	$121.41	$158.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.66 / $70.06 / $83.65	Facility		$67.66	$70.06	$83.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.11 / $73.56 / $129.66	Facility		$61.11	$73.56	$129.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $41.74 / $77.95	Professional		$33.53	$41.74	$77.95
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 $61.11 / $70.06 / $83.65	Facility		$61.11	$70.06	$83.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.65 / $128.72 / $234.69	Professional		$83.65	$128.72	$234.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $169.81 / $169.81 / $423.96	Facility		$169.81	$169.81	$423.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $367.61 / $500.06	Professional		$38.71	$367.61	$500.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $83.65 / $83.65 / $83.65	Professional		$83.65	$83.65	$83.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $48.60 / $83.65	Professional		$48.60	$48.60	$83.65
United Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $40.31 / $66.47	Professional		$31.50	$40.31	$66.47