Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.25 / $74.25 / $74.25	Facility		$74.25	$74.25	$74.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $73.84 / $90.08	Professional		$36.60	$73.84	$90.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $82.44 / $101.04	Professional		$82.44	$82.44	$101.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.69 / $189.69 / $189.69	Facility		$189.69	$189.69	$189.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.90 / $278.00 / $315.91	Facility		$237.90	$278.00	$315.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $128.44 / $167.75	Professional		$42.55	$128.44	$167.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $74.25 / $88.64	Facility		$73.04	$74.25	$88.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.73 / $77.95 / $137.35	Facility		$64.73	$77.95	$137.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $44.22 / $82.60	Professional		$36.85	$44.22	$82.60
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 $64.73 / $74.25 / $88.64	Facility		$64.73	$74.25	$88.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $136.41 / $257.08	Professional		$88.64	$136.41	$257.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $179.94 / $179.94 / $465.47	Facility		$179.94	$179.94	$465.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $389.52 / $588.59	Professional		$42.55	$389.52	$588.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $88.64 / $88.64	Professional		$88.64	$88.64	$88.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $88.64 / $1,000,000.00	Professional		$88.64	$88.64	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $44.22 / $70.42	Professional		$34.61	$44.22	$70.42