Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $66.56 / $66.56	Facility		$66.56	$66.56	$66.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $53.11 / $66.56	Professional		$24.61	$53.11	$66.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.92 / $73.92 / $90.60	Professional		$73.92	$73.92	$90.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.09 / $170.09 / $170.09	Facility		$170.09	$170.09	$170.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.57 / $249.57 / $283.60	Facility		$213.57	$249.57	$283.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $115.31 / $150.43	Professional		$28.61	$115.31	$150.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.05 / $66.56 / $79.48	Facility		$58.05	$66.56	$79.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.22 / $69.56 / $123.10	Facility		$55.22	$69.56	$123.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.44 / $39.65 / $74.06	Professional		$26.44	$39.65	$74.06
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 $49.93 / $66.56 / $79.48	Facility		$49.93	$66.56	$79.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $119.22 / $173.34	Professional		$65.86	$119.22	$173.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $161.34 / $161.34 / $301.86	Facility		$161.34	$161.34	$301.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $349.29 / $349.29	Professional		$28.61	$349.29	$349.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $79.48 / $79.48	Professional		$79.48	$79.48	$79.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $79.48 / $1,000,000.00	Professional		$79.48	$79.48	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $37.99 / $63.30	Professional		$23.28	$37.99	$63.30