Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.64 / $105.64 / $105.64	Facility		$105.64	$105.64	$105.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $101.78 / $105.64	Professional		$44.15	$101.78	$105.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.30 / $117.30 / $143.78	Professional		$117.30	$117.30	$143.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.92 / $269.92 / $269.92	Facility		$269.92	$269.92	$269.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.82 / $395.94 / $449.93	Facility		$338.82	$395.94	$449.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $182.81 / $238.70	Professional		$51.33	$182.81	$238.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $92.09 / $105.64 / $126.13	Facility		$92.09	$105.64	$126.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.57 / $110.92 / $195.50	Facility		$89.57	$110.92	$195.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $62.92 / $117.53	Professional		$44.46	$62.92	$117.53
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 $89.57 / $105.64 / $126.13	Facility		$89.57	$105.64	$126.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $118.03 / $189.20 / $310.64	Professional		$118.03	$189.20	$310.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $256.04 / $256.04 / $572.04	Facility		$256.04	$256.04	$572.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $554.27 / $636.12	Professional		$51.33	$554.27	$636.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $126.13 / $126.13 / $126.13	Professional		$126.13	$126.13	$126.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $126.13 / $126.13 / $1,000,000.00	Professional		$126.13	$126.13	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $60.29 / $104.87	Professional		$41.77	$60.29	$104.87