Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.50 / $92.50 / $92.50	Facility		$92.50	$92.50	$92.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $87.71 / $96.28	Professional		$40.28	$87.71	$96.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $102.70 / $125.89	Professional		$102.70	$102.70	$125.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $236.32 / $236.32 / $236.32	Facility		$236.32	$236.32	$236.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.47 / $346.45 / $393.69	Facility		$296.47	$346.45	$393.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $159.84 / $209.00	Professional		$46.82	$159.84	$209.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $84.65 / $92.50 / $110.43	Facility		$84.65	$92.50	$110.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.65 / $97.13 / $171.17	Facility		$80.65	$97.13	$171.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $55.10 / $102.90	Professional		$40.56	$55.10	$102.90
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 $80.65 / $92.50 / $110.43	Facility		$80.65	$92.50	$110.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.67 / $165.65 / $283.38	Professional		$107.67	$165.65	$283.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $224.17 / $224.17 / $544.61	Facility		$224.17	$224.17	$544.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $485.28 / $643.85	Professional		$46.82	$485.28	$643.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $110.43 / $110.43	Professional		$110.43	$110.43	$110.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $110.43 / $1,000,000.00	Professional		$110.43	$110.43	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $52.79 / $91.01	Professional		$38.10	$52.79	$91.01