Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.66 / $108.66 / $108.66	Facility		$108.66	$108.66	$108.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.13 / $103.12 / $108.66	Professional		$50.13	$103.12	$108.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.65 / $120.65 / $147.88	Professional		$120.65	$120.65	$147.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $277.62 / $277.62 / $277.62	Facility		$277.62	$277.62	$277.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.73 / $407.52 / $463.09	Facility		$348.73	$407.52	$463.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $187.97 / $245.53	Professional		$58.28	$187.97	$245.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.81 / $108.66 / $129.72	Facility		$102.81	$108.66	$129.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.74 / $114.09 / $201.08	Facility		$94.74	$114.09	$201.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $64.72 / $120.89	Professional		$50.48	$64.72	$120.89
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 $94.74 / $108.66 / $129.72	Facility		$94.74	$108.66	$129.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $194.60 / $352.52	Professional		$129.72	$194.60	$352.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.35 / $263.35 / $635.54	Facility		$263.35	$263.35	$635.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $570.11 / $747.84	Professional		$58.28	$570.11	$747.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $129.72 / $129.72	Professional		$129.72	$129.72	$129.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $129.72 / $1,000,000.00	Professional		$129.72	$129.72	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $62.02 / $106.91	Professional		$47.42	$62.02	$106.91