Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.56 / $40.56 / $40.56	Facility		$40.56	$40.56	$40.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $40.56 / $45.40	Professional		$18.67	$40.56	$45.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $45.03 / $55.19	Professional		$45.03	$45.03	$55.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.62 / $103.62 / $103.62	Facility		$103.62	$103.62	$103.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.76 / $151.63 / $172.31	Facility		$129.76	$151.63	$172.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $70.31 / $91.65	Professional		$21.70	$70.31	$91.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $40.56 / $48.42	Facility		$37.86	$40.56	$48.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $42.59 / $75.05	Facility		$35.35	$42.59	$75.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $24.16 / $45.12	Professional		$18.80	$24.16	$45.12
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 $35.35 / $40.56 / $48.42	Facility		$35.35	$40.56	$48.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $72.63 / $131.46	Professional		$48.42	$72.63	$131.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $98.29 / $100.00 / $238.45	Facility		$98.29	$100.00	$238.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $212.81 / $289.33	Professional		$21.70	$212.81	$289.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $48.42 / $48.42	Professional		$48.42	$48.42	$48.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $48.42 / $1,000,000.00	Professional		$48.42	$48.42	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $23.15 / $38.56	Professional		$17.66	$23.15	$38.56