Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $66.45 / $66.45	Facility		$66.45	$66.45	$66.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $56.64 / $66.45	Professional		$24.57	$56.64	$66.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $73.79 / $90.44	Professional		$71.40	$73.79	$90.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.79 / $169.79 / $169.79	Facility		$169.79	$169.79	$169.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.57 / $249.57 / $283.60	Facility		$213.57	$249.57	$283.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $114.84 / $150.15	Professional		$28.56	$114.84	$150.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.95 / $66.45 / $79.34	Facility		$57.95	$66.45	$79.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.13 / $69.45 / $122.65	Facility		$55.13	$69.45	$122.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $39.58 / $73.93	Professional		$26.39	$39.58	$73.93
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 $53.01 / $66.45 / $79.34	Facility		$53.01	$66.45	$79.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $119.01 / $172.36	Professional		$65.48	$119.01	$172.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $161.06 / $161.06 / $317.68	Facility		$161.06	$161.06	$317.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $348.66 / $368.02	Professional		$28.56	$348.66	$368.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $79.34 / $79.34	Professional		$79.34	$79.34	$79.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $79.34 / $1,000,000.00	Professional		$79.34	$79.34	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $37.93 / $65.38	Professional		$23.24	$37.93	$65.38