Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.05 / $108.05 / $108.05	Facility		$108.05	$108.05	$108.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $108.05 / $141.16	Professional		$53.27	$108.05	$141.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.97 / $119.97 / $147.06	Professional		$119.97	$119.97	$147.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.06 / $276.06 / $276.06	Facility		$276.06	$276.06	$276.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.93 / $405.42 / $460.70	Facility		$346.93	$405.42	$460.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $187.03 / $244.15	Professional		$61.92	$187.03	$244.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $108.05 / $129.00	Facility		$105.33	$108.05	$129.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.21 / $113.45 / $199.22	Facility		$94.21	$113.45	$199.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $64.36 / $120.20	Professional		$53.63	$64.36	$120.20
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 $94.21 / $108.05 / $129.00	Facility		$94.21	$108.05	$129.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $198.53 / $374.91	Professional		$129.00	$198.53	$374.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $261.87 / $261.87 / $664.47	Facility		$261.87	$261.87	$664.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $566.91 / $713.52	Professional		$61.92	$566.91	$713.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $129.00 / $129.00	Professional		$129.00	$129.00	$129.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $129.00 / $1,000,000.00	Professional		$129.00	$129.00	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $64.36 / $102.48	Professional		$50.39	$64.36	$102.48