Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.35 / $61.35 / $61.35	Facility		$61.35	$61.35	$61.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $60.46 / $65.30	Professional		$28.32	$60.46	$65.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $68.12 / $83.50	Professional		$68.12	$68.12	$83.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.76 / $156.76 / $156.76	Facility		$156.76	$156.76	$156.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.44 / $229.56 / $260.86	Facility		$196.44	$229.56	$260.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $105.94 / $138.63	Professional		$32.92	$105.94	$138.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $61.35 / $113.54	Facility		$57.45	$61.35	$113.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.49 / $69.72 / $134.94	Facility		$53.49	$69.72	$134.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $36.54 / $68.26	Professional		$28.51	$36.54	$68.26
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 $53.85 / $61.35 / $76.91	Facility		$53.85	$61.35	$76.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $109.88 / $199.63	Professional		$73.25	$109.88	$199.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $148.69 / $148.69 / $361.02	Facility		$148.69	$148.69	$361.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $321.89 / $413.57	Professional		$32.92	$321.89	$413.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $73.25 / $73.25	Professional		$73.25	$73.25	$73.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $73.25 / $1,000,000.00	Professional		$73.25	$73.25	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $48.73 / $90.00	Professional		$26.79	$48.73	$90.00