Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.63 / $75.63 / $75.63	Facility		$75.63	$75.63	$75.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $74.95 / $79.00	Professional		$31.07	$74.95	$79.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.97 / $83.97 / $102.93	Professional		$83.97	$83.97	$102.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $193.22 / $193.22 / $193.22	Facility		$193.22	$193.22	$193.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.40 / $283.27 / $321.89	Facility		$242.40	$283.27	$321.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $130.78 / $170.88	Professional		$36.11	$130.78	$170.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.40 / $75.63 / $90.29	Facility		$66.40	$75.63	$90.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.94 / $79.41 / $139.94	Facility		$65.94	$79.41	$139.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $45.04 / $84.14	Professional		$31.29	$45.04	$84.14
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 $65.94 / $75.63 / $90.29	Facility		$65.94	$75.63	$90.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $135.44 / $218.13	Professional		$82.88	$135.44	$218.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $183.29 / $183.29 / $405.85	Facility		$183.29	$183.29	$405.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $396.77 / $487.04	Professional		$36.11	$396.77	$487.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $90.29 / $90.29 / $90.29	Professional		$90.29	$90.29	$90.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $90.29 / $90.29 / $1,000,000.00	Professional		$90.29	$90.29	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $43.16 / $74.40	Professional		$29.40	$43.16	$74.40