Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $60.29 / $60.29	Facility		$60.29	$60.29	$60.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $60.29 / $70.25	Professional		$29.72	$60.29	$70.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $66.94 / $82.05	Professional		$66.94	$66.94	$82.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.04 / $154.04 / $154.04	Facility		$154.04	$154.04	$154.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.74 / $226.40 / $257.27	Facility		$193.74	$226.40	$257.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $104.53 / $136.22	Professional		$34.54	$104.53	$136.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.77 / $61.18 / $71.98	Facility		$58.77	$61.18	$71.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.56 / $63.30 / $111.46	Facility		$52.56	$63.30	$111.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $35.90 / $67.06	Professional		$29.93	$35.90	$67.06
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 $52.56 / $60.29 / $71.98	Facility		$52.56	$60.29	$71.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $110.77 / $209.37	Professional		$71.98	$110.77	$209.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $146.12 / $146.12 / $378.38	Facility		$146.12	$146.12	$378.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $316.31 / $441.79	Professional		$34.54	$316.31	$441.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $71.98	Professional		$71.98	$71.98	$71.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $1,000,000.00	Professional		$71.98	$71.98	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $35.90 / $57.33	Professional		$28.12	$35.90	$57.33