Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $83.71	Facility		$83.71	$83.71	$83.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $83.46 / $90.87	Professional		$39.42	$83.46	$90.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.93 / $92.93 / $113.92	Professional		$92.93	$92.93	$113.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.85 / $213.85 / $213.85	Facility		$213.85	$213.85	$213.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.52 / $313.80 / $356.59	Facility		$268.52	$313.80	$356.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $144.84 / $189.13	Professional		$45.83	$144.84	$189.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.97 / $83.71 / $99.93	Facility		$79.97	$83.71	$99.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $87.90 / $154.88	Facility		$73.00	$87.90	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $49.85 / $93.12	Professional		$39.69	$49.85	$93.12
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 $73.00 / $83.71 / $99.93	Facility		$73.00	$83.71	$99.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $152.47 / $277.52	Professional		$99.93	$152.47	$277.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $202.86 / $202.86 / $498.70	Facility		$202.86	$202.86	$498.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $439.16 / $537.12	Professional		$45.83	$439.16	$537.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $99.93 / $99.93	Professional		$99.93	$99.93	$99.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $99.93 / $1,000,000.00	Professional		$99.93	$99.93	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $47.77 / $82.35	Professional		$37.29	$47.77	$82.35