Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.08 / $45.08 / $45.08	Facility		$45.08	$45.08	$45.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $43.81 / $52.69	Professional		$21.71	$43.81	$52.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $50.05 / $61.35	Professional		$50.05	$50.05	$61.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.17 / $115.17 / $115.17	Facility		$115.17	$115.17	$115.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.08 / $169.54 / $192.66	Facility		$145.08	$169.54	$192.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $77.81 / $101.86	Professional		$25.24	$77.81	$101.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.94 / $45.08 / $53.82	Facility		$41.94	$45.08	$53.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $47.11 / $56.51	Facility		$39.29	$47.11	$56.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $26.85 / $50.15	Professional		$21.86	$26.85	$50.15
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 $39.29 / $45.08 / $53.82	Facility		$39.29	$45.08	$53.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $82.81 / $152.88	Professional		$53.82	$82.81	$152.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $109.25 / $126.92 / $280.00	Facility		$109.25	$126.92	$280.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $236.52 / $401.09	Professional		$25.24	$236.52	$401.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $53.82 / $53.82	Professional		$53.82	$53.82	$53.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $53.82 / $53.82	Professional		$53.82	$53.82	$53.82
United Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $26.85 / $44.35	Professional		$20.54	$26.85	$44.35