Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.04 / $88.04 / $88.04	Facility		$88.04	$88.04	$88.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $80.04 / $88.04	Professional		$33.68	$80.04	$88.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $97.75 / $119.82	Professional		$97.75	$97.75	$119.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $224.94 / $224.94 / $224.94	Facility		$224.94	$224.94	$224.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.05 / $329.60 / $374.54	Facility		$282.05	$329.60	$374.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $152.34 / $198.94	Professional		$39.15	$152.34	$198.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $76.77 / $88.04 / $105.11	Facility		$76.77	$88.04	$105.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $92.00 / $162.91	Facility		$73.04	$92.00	$162.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $52.44 / $97.95	Professional		$34.96	$52.44	$97.95
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 $70.23 / $88.04 / $105.11	Facility		$70.23	$88.04	$105.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.91 / $157.66 / $236.63	Professional		$89.91	$157.66	$236.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $213.37 / $213.37 / $438.24	Facility		$213.37	$213.37	$438.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $461.93 / $538.41	Professional		$39.15	$461.93	$538.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $105.11 / $105.11 / $105.11	Professional		$105.11	$105.11	$105.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $105.11 / $105.11 / $1,000,000.00	Professional		$105.11	$105.11	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $50.25 / $83.50	Professional		$31.87	$50.25	$83.50