Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.84 / $96.84 / $96.84	Facility		$96.84	$96.84	$96.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $93.53 / $96.84	Professional		$44.41	$93.53	$96.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $107.52 / $131.79	Professional		$107.52	$107.52	$131.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $247.41 / $247.41 / $247.41	Facility		$247.41	$247.41	$247.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.89 / $363.30 / $412.84	Facility		$310.89	$363.30	$412.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $167.34 / $218.80	Professional		$51.62	$167.34	$218.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.92 / $96.84 / $115.61	Facility		$89.92	$96.84	$115.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.44 / $101.68 / $179.20	Facility		$84.44	$101.68	$179.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $57.68 / $107.73	Professional		$44.72	$57.68	$107.73
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 $84.44 / $96.84 / $115.61	Facility		$84.44	$96.84	$115.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $173.42 / $312.58	Professional		$115.61	$173.42	$312.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $234.69 / $248.00 / $569.84	Facility		$234.69	$248.00	$569.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $508.05 / $784.22	Professional		$51.62	$508.05	$784.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $115.61 / $115.61	Professional		$115.61	$115.61	$115.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $115.61 / $1,000,000.00	Professional		$115.61	$115.61	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $57.68 / $95.27	Professional		$42.01	$57.68	$95.27