Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.91 / $44.91 / $44.91	Facility		$44.91	$44.91	$44.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $43.38 / $52.15	Professional		$20.45	$43.38	$52.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $49.87 / $61.12	Professional		$49.87	$49.87	$61.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.75 / $114.75 / $114.75	Facility		$114.75	$114.75	$114.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.18 / $168.48 / $191.46	Facility		$144.18	$168.48	$191.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $77.81 / $101.48	Professional		$23.78	$77.81	$101.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.49 / $44.91 / $53.62	Facility		$41.49	$44.91	$53.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $47.16 / $83.11	Facility		$39.15	$47.16	$83.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $26.75 / $49.96	Professional		$20.60	$26.75	$49.96
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 $39.15 / $44.91 / $53.62	Facility		$39.15	$44.91	$53.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $80.43 / $144.12	Professional		$53.62	$80.43	$144.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $108.85 / $108.85 / $269.47	Facility		$108.85	$108.85	$269.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $235.62 / $328.98	Professional		$23.78	$235.62	$328.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $53.62 / $53.62	Professional		$53.62	$53.62	$53.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $53.62 / $1,000,000.00	Professional		$53.62	$53.62	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $25.63 / $44.58	Professional		$19.35	$25.63	$44.58