Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.44 / $82.44 / $82.44	Facility		$82.44	$82.44	$82.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $82.44 / $88.89	Professional		$40.64	$82.44	$88.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $91.53 / $112.19	Professional		$91.53	$91.53	$112.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $210.62 / $210.62 / $210.62	Facility		$210.62	$210.62	$210.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.93 / $309.58 / $351.81	Facility		$264.93	$309.58	$351.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $142.50 / $186.28	Professional		$47.24	$142.50	$186.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $80.36 / $82.44 / $98.42	Facility		$80.36	$82.44	$98.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.89 / $86.56 / $152.55	Facility		$71.89	$86.56	$152.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $49.10 / $91.71	Professional		$40.92	$49.10	$91.71
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 $71.89 / $82.44 / $98.42	Facility		$71.89	$82.44	$98.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $151.47 / $286.30	Professional		$98.42	$151.47	$286.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $199.79 / $199.79 / $505.21	Facility		$199.79	$199.79	$505.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $432.54 / $604.49	Professional		$47.24	$432.54	$604.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $98.42 / $98.42	Professional		$98.42	$98.42	$98.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $98.42 / $1,000,000.00	Professional		$98.42	$98.42	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $49.10 / $81.11	Professional		$38.45	$49.10	$81.11