Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.31 / $74.31 / $74.31	Facility		$74.31	$74.31	$74.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $71.77 / $76.91	Professional		$31.10	$71.77	$76.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.51 / $82.51 / $101.14	Professional		$82.51	$82.51	$101.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.86 / $189.86 / $189.86	Facility		$189.86	$189.86	$189.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.80 / $279.05 / $317.11	Facility		$238.80	$279.05	$317.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $128.44 / $167.91	Professional		$36.14	$128.44	$167.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $74.31 / $88.72	Facility		$64.78	$74.31	$88.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.08 / $78.03 / $137.52	Facility		$63.08	$78.03	$137.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $44.26 / $82.67	Professional		$31.31	$44.26	$82.67
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 $63.08 / $74.31 / $88.72	Facility		$63.08	$74.31	$88.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.25 / $133.08 / $219.11	Professional		$83.25	$133.08	$219.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $180.10 / $180.10 / $397.43	Facility		$180.10	$180.10	$397.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $389.88 / $474.71	Professional		$36.14	$389.88	$474.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $88.72 / $88.72 / $88.72	Professional		$88.72	$88.72	$88.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $88.72 / $88.72 / $1,000,000.00	Professional		$88.72	$88.72	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $42.41 / $70.66	Professional		$29.42	$42.41	$70.66