Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.08 / $87.08 / $87.08	Facility		$87.08	$87.08	$87.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $79.81 / $87.08	Professional		$37.52	$79.81	$87.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.56 / $96.68 / $118.51	Professional		$93.56	$96.68	$118.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.47 / $222.47 / $222.47	Facility		$222.47	$222.47	$222.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.35 / $326.44 / $370.95	Facility		$279.35	$326.44	$370.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $150.47 / $196.75	Professional		$43.62	$150.47	$196.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $76.11 / $87.08 / $103.96	Facility		$76.11	$87.08	$103.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $91.00 / $161.13	Facility		$75.91	$91.00	$161.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $51.86 / $96.87	Professional		$37.78	$51.86	$96.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $58.40 / $70.00	Professional		$20.21	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $87.08 / $103.96	Facility		$75.91	$87.08	$103.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.27 / $155.94 / $263.89	Professional		$100.27	$155.94	$263.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $211.04 / $224.77 / $486.30	Facility		$211.04	$224.77	$486.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $456.84 / $710.69	Professional		$43.62	$456.84	$710.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $103.96 / $103.96 / $103.96	Professional		$103.96	$103.96	$103.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $103.96 / $103.96 / $1,000,000.00	Professional		$103.96	$103.96	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $49.70 / $82.80	Professional		$35.50	$49.70	$82.80