Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.91 / $69.91 / $69.91	Facility		$69.91	$69.91	$69.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $67.52 / $75.12	Professional		$32.59	$67.52	$75.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $77.63 / $95.15	Professional		$77.63	$77.63	$95.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.63 / $178.63 / $178.63	Facility		$178.63	$178.63	$178.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.38 / $262.20 / $297.95	Facility		$224.38	$262.20	$297.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $120.94 / $157.96	Professional		$37.88	$120.94	$157.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.11 / $69.91 / $83.47	Facility		$66.11	$69.91	$83.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.95 / $73.41 / $129.38	Facility		$60.95	$73.41	$129.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $41.63 / $77.77	Professional		$32.81	$41.63	$77.77
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 $60.95 / $69.91 / $83.47	Facility		$60.95	$69.91	$83.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $125.73 / $228.84	Professional		$83.47	$125.73	$228.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $169.44 / $169.44 / $407.82	Facility		$169.44	$169.44	$407.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $366.80 / $509.35	Professional		$37.88	$366.80	$509.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $83.47 / $83.47	Professional		$83.47	$83.47	$83.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $83.47 / $1,000,000.00	Professional		$83.47	$83.47	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $39.89 / $66.30	Professional		$30.83	$39.89	$66.30