Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $31.29 / $31.29	Facility		$31.29	$31.29	$31.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $29.13 / $31.29	Professional		$14.15	$29.13	$31.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $34.74 / $42.59	Professional		$34.74	$34.74	$42.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $79.95 / $79.95	Facility		$79.95	$79.95	$79.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.02 / $116.89 / $132.83	Facility		$100.02	$116.89	$132.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $53.91 / $70.70	Professional		$16.45	$53.91	$70.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.46 / $31.29 / $37.36	Facility		$27.46	$31.29	$37.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.27 / $32.70 / $39.22	Facility		$27.27	$32.70	$39.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $18.64 / $34.81	Professional		$14.25	$18.64	$34.81
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 $27.27 / $31.29 / $37.36	Facility		$27.27	$31.29	$37.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $56.04 / $99.33	Professional		$37.36	$56.04	$99.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $123.27 / $199.92	Facility		$75.84	$123.27	$199.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $164.16 / $389.75	Professional		$16.45	$164.16	$389.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $37.36 / $37.36	Professional		$37.36	$37.36	$37.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $37.36 / $37.36	Professional		$37.36	$37.36	$37.36
United Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $17.86 / $29.67	Professional		$13.39	$17.86	$29.67