Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $46.79 / $59.08	Professional		$22.07	$46.79	$59.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $68.20	Professional		$55.65	$55.65	$68.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.06 / $128.06 / $128.06	Facility		$128.06	$128.06	$128.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.40 / $187.44 / $213.00	Facility		$160.40	$187.44	$213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $86.72 / $113.26	Professional		$25.65	$86.72	$113.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $50.86 / $59.84	Facility		$43.99	$50.86	$59.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.72 / $52.63 / $92.75	Facility		$43.72	$52.63	$92.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $29.86 / $55.76	Professional		$22.22	$29.86	$55.76
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 $43.72 / $50.12 / $59.84	Facility		$43.72	$50.12	$59.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.83 / $89.76 / $154.83	Professional		$58.83	$89.76	$154.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $121.48 / $121.48 / $278.32	Facility		$121.48	$121.48	$278.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $262.98 / $354.83	Professional		$25.65	$262.98	$354.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.84 / $59.84 / $59.84	Professional		$59.84	$59.84	$59.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.84 / $59.84 / $1,000,000.00	Professional		$59.84	$59.84	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $29.86 / $49.76	Professional		$20.88	$29.86	$49.76