Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.05 / $65.05 / $65.05	Facility		$65.05	$65.05	$65.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $56.41 / $65.05	Professional		$25.28	$56.41	$65.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $72.22 / $88.53	Professional		$72.22	$72.22	$88.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.19 / $166.19 / $166.19	Facility		$166.19	$166.19	$166.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.06 / $244.30 / $277.62	Facility		$209.06	$244.30	$277.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $112.50 / $146.97	Professional		$29.38	$112.50	$146.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.72 / $65.05 / $77.66	Facility		$56.72	$65.05	$77.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.96 / $67.98 / $120.37	Facility		$53.96	$67.98	$120.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $38.74 / $72.37	Professional		$25.83	$38.74	$72.37
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 $51.27 / $65.05 / $77.66	Facility		$51.27	$65.05	$77.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $116.49 / $178.21	Professional		$67.70	$116.49	$178.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $157.65 / $157.65 / $326.38	Facility		$157.65	$157.65	$326.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $341.28 / $391.78	Professional		$29.38	$341.28	$391.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $77.66 / $77.66 / $77.66	Professional		$77.66	$77.66	$77.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $77.66 / $77.66 / $1,000,000.00	Professional		$77.66	$77.66	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $37.11 / $61.69	Professional		$23.91	$37.11	$61.69