Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $73.48 / $73.48	Facility		$73.48	$73.48	$73.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $59.38 / $73.48	Professional		$27.59	$59.38	$73.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $81.59 / $100.01	Professional		$81.59	$81.59	$100.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.74 / $187.74 / $187.74	Facility		$187.74	$187.74	$187.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.09 / $275.89 / $313.52	Facility		$236.09	$275.89	$313.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $127.03 / $166.03	Professional		$32.08	$127.03	$166.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $73.48 / $87.73	Facility		$64.06	$73.48	$87.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $76.79 / $135.97	Facility		$60.96	$76.79	$135.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $43.76 / $81.75	Professional		$29.18	$43.76	$81.75
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 $55.98 / $73.48 / $87.73	Facility		$55.98	$73.48	$87.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $131.60 / $193.79	Professional		$73.63	$131.60	$193.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $178.09 / $178.09 / $358.11	Facility		$178.09	$178.09	$358.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $385.52 / $441.05	Professional		$32.08	$385.52	$441.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $87.73 / $87.73	Professional		$87.73	$87.73	$87.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $87.73 / $1,000,000.00	Professional		$87.73	$87.73	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $41.93 / $69.87	Professional		$26.10	$41.93	$69.87