Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.27 / $76.27 / $76.27	Facility		$76.27	$76.27	$76.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $75.89 / $89.58	Professional		$35.29	$75.89	$89.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $84.68 / $103.79	Professional		$84.68	$84.68	$103.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.85 / $194.85 / $194.85	Facility		$194.85	$194.85	$194.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.10 / $286.42 / $325.48	Facility		$245.10	$286.42	$325.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $131.72 / $172.33	Professional		$41.03	$131.72	$172.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $71.59 / $76.27 / $91.05	Facility		$71.59	$76.27	$91.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $80.08 / $141.13	Facility		$66.48	$80.08	$141.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $45.43 / $84.85	Professional		$35.54	$45.43	$84.85
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 $66.48 / $76.27 / $91.05	Facility		$66.48	$76.27	$91.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $136.58 / $248.32	Professional		$91.05	$136.58	$248.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $184.83 / $184.83 / $445.63	Facility		$184.83	$184.83	$445.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $400.14 / $466.39	Professional		$41.03	$400.14	$466.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $91.05 / $91.05	Professional		$91.05	$91.05	$91.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $91.05 / $1,000,000.00	Professional		$91.05	$91.05	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $45.43 / $72.33	Professional		$33.39	$45.43	$72.33