Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.37 / $103.37 / $103.37	Facility		$103.37	$103.37	$103.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $99.85 / $109.43	Professional		$44.44	$99.85	$109.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.77 / $114.77 / $140.68	Professional		$114.77	$114.77	$140.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $264.10 / $264.10 / $264.10	Facility		$264.10	$264.10	$264.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.61 / $387.52 / $440.36	Facility		$331.61	$387.52	$440.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $179.06 / $233.56	Professional		$51.66	$179.06	$233.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $90.14 / $103.37 / $123.41	Facility		$90.14	$103.37	$123.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.13 / $108.02 / $191.29	Facility		$90.13	$108.02	$191.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $61.57 / $115.00	Professional		$44.75	$61.57	$115.00
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 $90.13 / $103.37 / $123.41	Facility		$90.13	$103.37	$123.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $118.77 / $185.12 / $312.58	Professional		$118.77	$185.12	$312.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $250.52 / $250.52 / $585.23	Facility		$250.52	$250.52	$585.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $542.34 / $714.58	Professional		$51.66	$542.34	$714.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.41 / $123.41 / $123.41	Professional		$123.41	$123.41	$123.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.41 / $123.41 / $1,000,000.00	Professional		$123.41	$123.41	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $59.00 / $98.30	Professional		$42.04	$59.00	$98.30