Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $70.78 / $70.78	Facility		$70.78	$70.78	$70.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $68.37 / $72.75	Professional		$32.00	$68.37	$72.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $78.59 / $96.33	Professional		$78.59	$78.59	$96.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.83 / $180.83 / $180.83	Facility		$180.83	$180.83	$180.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.08 / $265.36 / $301.55	Facility		$227.08	$265.36	$301.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $122.34 / $159.93	Professional		$37.20	$122.34	$159.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $71.83 / $84.50	Facility		$67.84	$71.83	$84.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.71 / $74.31 / $130.97	Facility		$61.71	$74.31	$130.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $42.16 / $78.73	Professional		$32.22	$42.16	$78.73
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 $61.71 / $70.78 / $84.50	Facility		$61.71	$70.78	$84.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $126.75 / $224.95	Professional		$84.50	$126.75	$224.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $171.54 / $171.54 / $404.31	Facility		$171.54	$171.54	$404.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $371.34 / $434.11	Professional		$37.20	$371.34	$434.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $84.50 / $84.50	Professional		$84.50	$84.50	$84.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $84.50 / $1,000,000.00	Professional		$84.50	$84.50	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $42.16 / $67.30	Professional		$30.27	$42.16	$67.30