Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.82 / $40.82 / $40.82	Facility		$40.82	$40.82	$40.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $179.29 / $5,000.00	Professional		$27.00	$179.29	$5,000.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60,749.39 / $60,749.39 / $60,749.39	Professional		$60,749.39	$60,749.39	$60,749.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,535.82 / $7,637.63 / $11,716.31	Facility		$6,535.82	$7,637.63	$11,716.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,995.49 / $3,744.36 / $17,433.31	Professional		$2,995.49	$3,744.36	$17,433.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $283.51 / $283.51 / $340.18	Facility		$283.51	$283.51	$340.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $3,000.00	Professional		$55.00	$65.00	$3,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,570.00 / $1,570.00 / $1,570.00	Professional		$1,570.00	$1,570.00	$1,570.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,518.19 / $1,518.19 / $1,518.19	Facility		$1,518.19	$1,518.19	$1,518.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $97.34 / $97.34	Professional		$97.34	$97.34	$97.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $97.34 / $97.34	Professional		$97.34	$97.34	$97.34
United Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00