Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.67 / $53.67 / $53.67	Facility		$53.67	$53.67	$53.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $51.84 / $64.01	Professional		$24.25	$51.84	$64.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.59 / $59.59 / $73.05	Professional		$59.59	$59.59	$73.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.13 / $137.13 / $137.13	Facility		$137.13	$137.13	$137.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.11 / $201.13 / $228.56	Facility		$172.11	$201.13	$228.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $92.81 / $121.28	Professional		$28.19	$92.81	$121.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $47.95 / $53.67 / $64.08	Facility		$47.95	$53.67	$64.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $56.35 / $99.32	Facility		$46.80	$56.35	$99.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $31.97 / $59.71	Professional		$24.42	$31.97	$59.71
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 $46.80 / $53.67 / $64.08	Facility		$46.80	$53.67	$64.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $96.12 / $170.42	Professional		$64.08	$96.12	$170.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $130.08 / $130.08 / $308.83	Facility		$130.08	$130.08	$308.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $281.61 / $375.79	Professional		$28.19	$281.61	$375.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $64.08 / $64.08	Professional		$64.08	$64.08	$64.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $64.08 / $1,000,000.00	Professional		$64.08	$64.08	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $30.63 / $50.90	Professional		$22.94	$30.63	$50.90