Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.41 / $73.41 / $73.41	Facility		$73.41	$73.41	$73.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $70.97 / $75.31	Professional		$32.32	$70.97	$75.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.87 / $81.51 / $99.90	Professional		$78.87	$81.51	$99.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.55 / $187.55 / $187.55	Facility		$187.55	$187.55	$187.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.19 / $274.83 / $312.32	Facility		$235.19	$274.83	$312.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $127.03 / $165.88	Professional		$37.57	$127.03	$165.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $65.51 / $73.41 / $92.02	Facility		$65.51	$73.41	$92.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $77.08 / $160.74	Facility		$64.00	$77.08	$160.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $43.72 / $81.67	Professional		$32.54	$43.72	$81.67
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 $64.41 / $73.41 / $92.02	Facility		$64.41	$73.41	$92.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $131.46 / $226.90	Professional		$86.21	$131.46	$226.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $177.91 / $177.91 / $408.00	Facility		$177.91	$177.91	$408.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $385.16 / $441.23	Professional		$37.57	$385.16	$441.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $87.64 / $87.64	Professional		$87.64	$87.64	$87.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $87.64 / $87.64	Professional		$87.64	$87.64	$87.64
United Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $43.48 / $83.80	Professional		$30.57	$43.48	$83.80