Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.52 / $44.52 / $44.52	Facility		$44.52	$44.52	$44.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $40.47 / $44.52	Professional		$17.89	$40.47	$44.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $49.44 / $60.60	Professional		$49.44	$49.44	$60.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.76 / $113.76 / $113.76	Facility		$113.76	$113.76	$113.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.28 / $167.43 / $190.26	Facility		$143.28	$167.43	$190.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $76.88 / $100.60	Professional		$20.80	$76.88	$100.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.07 / $44.82 / $53.16	Facility		$39.07	$44.82	$53.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.83 / $48.40 / $82.40	Facility		$38.83	$48.40	$82.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $26.51 / $49.53	Professional		$18.02	$26.51	$49.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $65.00 / $86.43	Professional		$48.02	$65.00	$86.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $38.83 / $44.52 / $53.16	Facility		$38.83	$44.52	$53.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $79.73 / $125.62	Professional		$47.73	$79.73	$125.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $107.91 / $107.91 / $239.19	Facility		$107.91	$107.91	$239.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $233.60 / $279.63	Professional		$20.80	$233.60	$279.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $53.16 / $53.16	Professional		$53.16	$53.16	$53.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $53.16 / $1,000,000.00	Professional		$53.16	$53.16	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.51 / $42.34	Professional		$16.93	$26.51	$42.34