Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.74 / $88.74 / $88.74	Facility		$88.74	$88.74	$88.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $84.51 / $89.96	Professional		$36.65	$84.51	$89.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $98.52 / $120.77	Professional		$98.52	$98.52	$120.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.71 / $226.71 / $226.71	Facility		$226.71	$226.71	$226.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.75 / $332.76 / $378.13	Facility		$284.75	$332.76	$378.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $153.75 / $200.50	Professional		$42.61	$153.75	$200.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.38 / $88.74 / $105.94	Facility		$77.38	$88.74	$105.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.37 / $92.73 / $164.21	Facility		$74.37	$92.73	$164.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $52.85 / $98.72	Professional		$36.90	$52.85	$98.72
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 $74.37 / $88.74 / $105.94	Facility		$74.37	$88.74	$105.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $158.91 / $258.06	Professional		$98.05	$158.91	$258.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $215.06 / $215.06 / $469.78	Facility		$215.06	$215.06	$469.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $465.57 / $585.98	Professional		$42.61	$465.57	$585.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $105.94 / $105.94 / $105.94	Professional		$105.94	$105.94	$105.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $105.94 / $105.94 / $1,000,000.00	Professional		$105.94	$105.94	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $50.65 / $84.16	Professional		$34.68	$50.65	$84.16