Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.39 / $56.39 / $56.39	Facility		$56.39	$56.39	$56.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $55.87 / $65.73	Professional		$27.69	$55.87	$65.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.62 / $62.62 / $76.75	Professional		$62.62	$62.62	$76.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.09 / $144.09 / $144.09	Facility		$144.09	$144.09	$144.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.13 / $211.66 / $240.52	Facility		$181.13	$211.66	$240.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $97.50 / $127.43	Professional		$32.19	$97.50	$127.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $55.48 / $58.59 / $67.33	Facility		$55.48	$58.59	$67.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.17 / $59.21 / $104.36	Facility		$49.17	$59.21	$104.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $33.59 / $62.73	Professional		$27.88	$33.59	$62.73
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 $49.17 / $56.39 / $67.33	Facility		$49.17	$56.39	$67.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $103.60 / $194.76	Professional		$67.33	$103.60	$194.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $136.68 / $136.68 / $354.60	Facility		$136.68	$136.68	$354.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $295.88 / $426.48	Professional		$32.19	$295.88	$426.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $67.33 / $67.33	Professional		$67.33	$67.33	$67.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $67.33 / $1,000,000.00	Professional		$67.33	$67.33	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $33.59 / $53.62	Professional		$26.20	$33.59	$53.62