Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.22 / $70.22 / $70.22	Facility		$70.22	$70.22	$70.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $62.31 / $70.22	Professional		$25.97	$62.31	$70.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.97 / $77.97 / $95.57	Professional		$77.97	$77.97	$95.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.42 / $179.42 / $179.42	Facility		$179.42	$179.42	$179.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.28 / $263.26 / $299.16	Facility		$225.28	$263.26	$299.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $121.41 / $158.66	Professional		$30.18	$121.41	$158.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $70.22 / $83.84	Facility		$61.62	$70.22	$83.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.23 / $73.38 / $128.56	Facility		$61.23	$73.38	$128.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $41.83 / $78.12	Professional		$27.88	$41.83	$78.12
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 $61.23 / $70.22 / $83.84	Facility		$61.23	$70.22	$83.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $125.76 / $183.07	Professional		$69.56	$125.76	$183.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $170.20 / $170.20 / $338.18	Facility		$170.20	$170.20	$338.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $368.42 / $415.01	Professional		$30.18	$368.42	$415.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $83.84 / $83.84 / $83.84	Professional		$83.84	$83.84	$83.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $83.84 / $83.84 / $1,000,000.00	Professional		$83.84	$83.84	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $40.08 / $66.59	Professional		$24.56	$40.08	$66.59