Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $76.73 / $76.73	Facility		$76.73	$76.73	$76.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $76.73 / $85.68	Professional		$37.61	$76.73	$85.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.21 / $85.21 / $104.44	Professional		$85.21	$85.21	$104.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $196.07 / $196.07 / $196.07	Facility		$196.07	$196.07	$196.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.01 / $287.48 / $326.68	Facility		$246.01	$287.48	$326.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $132.66 / $173.39	Professional		$43.73	$132.66	$173.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $75.50 / $76.73 / $91.62	Facility		$75.50	$76.73	$91.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.91 / $80.58 / $142.01	Facility		$66.91	$80.58	$142.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $45.71 / $85.37	Professional		$37.88	$45.71	$85.37
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 $66.91 / $76.73 / $91.62	Facility		$66.91	$76.73	$91.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.62 / $141.00 / $264.87	Professional		$91.62	$141.00	$264.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $185.99 / $185.99 / $478.06	Facility		$185.99	$185.99	$478.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $402.62 / $510.29	Professional		$43.73	$402.62	$510.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $91.62 / $91.62 / $91.62	Professional		$91.62	$91.62	$91.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $91.62 / $91.62 / $1,000,000.00	Professional		$91.62	$91.62	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $45.45 / $72.97	Professional		$35.58	$45.45	$72.97