Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $47.71 / $47.71	Facility		$47.71	$47.71	$47.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $47.10 / $51.20	Professional		$22.21	$47.10	$51.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $52.98 / $64.94	Professional		$52.98	$52.98	$64.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.92 / $121.92 / $121.92	Facility		$121.92	$121.92	$121.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.19 / $179.02 / $203.43	Facility		$153.19	$179.02	$203.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $82.50 / $107.81	Professional		$25.82	$82.50	$107.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.91 / $47.71 / $56.97	Facility		$43.91	$47.71	$56.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $50.10 / $88.30	Facility		$41.60	$50.10	$88.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $28.42 / $53.08	Professional		$22.36	$28.42	$53.08
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 $41.60 / $47.71 / $56.97	Facility		$41.60	$47.71	$56.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $85.60 / $155.81	Professional		$56.97	$85.60	$155.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $115.65 / $115.65 / $287.16	Facility		$115.65	$115.65	$287.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $250.34 / $339.54	Professional		$25.82	$250.34	$339.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $56.97 / $56.97	Professional		$56.97	$56.97	$56.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $56.97 / $1,000,000.00	Professional		$56.97	$56.97	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $27.23 / $46.95	Professional		$21.01	$27.23	$46.95