Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.24 / $48.24 / $48.24	Facility		$48.24	$48.24	$48.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $46.12 / $48.24	Professional		$20.32	$46.12	$48.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $53.57 / $65.66	Professional		$53.57	$53.57	$65.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.26 / $123.26 / $123.26	Facility		$123.26	$123.26	$123.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.99 / $181.12 / $205.82	Facility		$154.99	$181.12	$205.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $83.44 / $109.01	Professional		$23.63	$83.44	$109.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.05 / $48.24 / $57.60	Facility		$42.05	$48.24	$57.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.23 / $50.65 / $89.28	Facility		$41.23	$50.65	$89.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $28.73 / $53.67	Professional		$20.47	$28.73	$53.67
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 $41.23 / $48.24 / $57.60	Facility		$41.23	$48.24	$57.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $86.40 / $143.15	Professional		$54.39	$86.40	$143.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $116.93 / $116.93 / $257.91	Facility		$116.93	$116.93	$257.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $253.13 / $315.07	Professional		$23.63	$253.13	$315.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $57.60 / $57.60	Professional		$57.60	$57.60	$57.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $57.60 / $1,000,000.00	Professional		$57.60	$57.60	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $27.53 / $47.45	Professional		$19.23	$27.53	$47.45