Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.27 / $60.27 / $60.27	Facility		$60.27	$60.27	$60.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $58.29 / $61.83	Professional		$26.54	$58.29	$61.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.76 / $66.92 / $82.03	Professional		$64.76	$66.92	$82.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.99 / $153.99 / $153.99	Facility		$153.99	$153.99	$153.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.74 / $226.40 / $257.27	Facility		$193.74	$226.40	$257.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $104.06 / $136.19	Professional		$30.85	$104.06	$136.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $53.81 / $60.27 / $71.95	Facility		$53.81	$60.27	$71.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.56 / $62.98 / $75.56	Facility		$52.56	$62.98	$75.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $35.90 / $67.05	Professional		$26.73	$35.90	$67.05
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 $52.56 / $60.27 / $71.95	Facility		$52.56	$60.27	$71.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $107.94 / $186.97	Professional		$71.04	$107.94	$186.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $146.08 / $146.08 / $335.09	Facility		$146.08	$146.08	$335.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $316.22 / $362.25	Professional		$30.85	$316.22	$362.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $71.95 / $71.95	Professional		$71.95	$71.95	$71.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $71.95 / $71.95	Professional		$71.95	$71.95	$71.95
United Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $35.72 / $57.17	Professional		$25.11	$35.72	$57.17