Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.90 / $73.90 / $73.90	Facility		$73.90	$73.90	$73.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $67.39 / $78.87	Professional		$31.78	$67.39	$78.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $82.05 / $100.58	Professional		$82.05	$82.05	$100.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.81 / $188.81 / $188.81	Facility		$188.81	$188.81	$188.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.99 / $276.95 / $314.70	Facility		$236.99	$276.95	$314.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $127.97 / $166.98	Professional		$36.94	$127.97	$166.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.86 / $73.90 / $88.23	Facility		$64.86	$73.90	$88.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $76.72 / $92.64	Facility		$64.45	$76.72	$92.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $44.02 / $82.22	Professional		$32.00	$44.02	$82.22
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 $64.45 / $73.90 / $88.23	Facility		$64.45	$73.90	$88.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $132.35 / $223.97	Professional		$85.10	$132.35	$223.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $179.11 / $179.11 / $419.09	Facility		$179.11	$179.11	$419.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $387.72 / $492.53	Professional		$36.94	$387.72	$492.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $88.23 / $88.23 / $88.23	Professional		$88.23	$88.23	$88.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $88.23 / $88.23 / $88.23	Professional		$88.23	$88.23	$88.23
United Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $44.02 / $73.36	Professional		$30.06	$44.02	$73.36