Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.58 / $47.58 / $47.58	Facility		$47.58	$47.58	$47.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $47.58 / $49.44	Professional		$21.45	$47.58	$49.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.83 / $52.83 / $64.76	Professional		$52.83	$52.83	$64.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.57 / $121.57 / $121.57	Facility		$121.57	$121.57	$121.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.29 / $177.96 / $202.23	Facility		$152.29	$177.96	$202.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $82.50 / $107.53	Professional		$24.93	$82.50	$107.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.51 / $47.58 / $56.81	Facility		$43.51	$47.58	$56.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.50 / $49.96 / $88.06	Facility		$41.50	$49.96	$88.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $28.34 / $52.93	Professional		$21.60	$28.34	$52.93
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 $41.50 / $47.58 / $56.81	Facility		$41.50	$47.58	$56.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $85.22 / $150.94	Professional		$56.81	$85.22	$150.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $115.32 / $115.32 / $280.66	Facility		$115.32	$115.32	$280.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $249.66 / $332.40	Professional		$24.93	$249.66	$332.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $56.81 / $56.81	Professional		$56.81	$56.81	$56.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $56.81 / $1,000,000.00	Professional		$56.81	$56.81	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $27.16 / $45.26	Professional		$20.29	$27.16	$45.26