Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.09 / $65.09 / $65.09	Facility		$65.09	$65.09	$65.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $62.93 / $66.77	Professional		$28.66	$62.93	$66.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $72.27 / $88.58	Professional		$69.93	$72.27	$88.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.30 / $166.30 / $166.30	Facility		$166.30	$166.30	$166.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.06 / $244.30 / $277.62	Facility		$209.06	$244.30	$277.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $112.50 / $147.08	Professional		$33.32	$112.50	$147.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.09 / $65.09 / $77.70	Facility		$58.09	$65.09	$77.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.76 / $68.02 / $81.59	Facility		$56.76	$68.02	$81.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $38.77 / $72.42	Professional		$28.86	$38.77	$72.42
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 $56.76 / $65.09 / $77.70	Facility		$56.76	$65.09	$77.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $116.57 / $201.58	Professional		$76.59	$116.57	$201.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $157.75 / $157.75 / $361.86	Facility		$157.75	$157.75	$361.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $341.51 / $391.18	Professional		$33.32	$341.51	$391.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $77.70 / $77.70	Professional		$77.70	$77.70	$77.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $77.70 / $77.70	Professional		$77.70	$77.70	$77.70
United Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $38.77 / $71.97	Professional		$27.12	$38.77	$71.97