Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.56 / $96.56 / $96.56	Facility		$96.56	$96.56	$96.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $80.09 / $96.56	Professional		$36.34	$80.09	$96.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.21 / $107.21 / $131.41	Professional		$107.21	$107.21	$131.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $246.70 / $246.70 / $246.70	Facility		$246.70	$246.70	$246.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.99 / $362.24 / $411.64	Facility		$309.99	$362.24	$411.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $166.88 / $218.18	Professional		$42.25	$166.88	$218.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $84.20 / $96.56 / $115.28	Facility		$84.20	$96.56	$115.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $100.91 / $178.68	Facility		$80.09	$100.91	$178.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $57.52 / $107.43	Professional		$38.34	$57.52	$107.43
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 $77.03 / $96.56 / $115.28	Facility		$77.03	$96.56	$115.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $96.94 / $172.92 / $255.14	Professional		$96.94	$172.92	$255.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $234.02 / $234.02 / $479.70	Facility		$234.02	$234.02	$479.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $506.61 / $558.77	Professional		$42.25	$506.61	$558.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $115.28 / $115.28 / $115.28	Professional		$115.28	$115.28	$115.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $115.28 / $115.28 / $1,000,000.00	Professional		$115.28	$115.28	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.38 / $55.11 / $91.82	Professional		$34.38	$55.11	$91.82