Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.84 / $61.84 / $61.84	Facility		$61.84	$61.84	$61.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $59.73 / $67.75	Professional		$28.97	$59.73	$67.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $68.66 / $84.16	Professional		$68.66	$68.66	$84.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $158.00 / $158.00	Facility		$158.00	$158.00	$158.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.25 / $231.67 / $263.26	Facility		$198.25	$231.67	$263.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $106.88 / $139.72	Professional		$33.68	$106.88	$139.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $61.84 / $73.83	Facility		$58.78	$61.84	$73.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.91 / $64.93 / $114.44	Facility		$53.91	$64.93	$114.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $36.83 / $68.79	Professional		$29.18	$36.83	$68.79
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 $53.91 / $61.84 / $73.83	Facility		$53.91	$61.84	$73.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.83 / $111.82 / $203.52	Professional		$73.83	$111.82	$203.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $149.87 / $149.87 / $365.84	Facility		$149.87	$149.87	$365.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $324.45 / $444.72	Professional		$33.68	$324.45	$444.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $73.83 / $73.83 / $73.83	Professional		$73.83	$73.83	$73.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $73.83 / $73.83 / $1,000,000.00	Professional		$73.83	$73.83	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $35.29 / $58.80	Professional		$27.41	$35.29	$58.80