Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.26 / $131.26 / $131.26	Facility		$131.26	$131.26	$131.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $126.79 / $154.35	Professional		$61.36	$126.79	$154.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.74 / $145.74 / $178.64	Professional		$145.74	$145.74	$178.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $335.36 / $335.36 / $335.36	Facility		$335.36	$335.36	$335.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.82 / $491.77 / $558.82	Facility		$420.82	$491.77	$558.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $226.88 / $296.58	Professional		$71.33	$226.88	$296.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $121.32 / $133.19 / $165.95	Facility		$121.32	$133.19	$165.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $149.16 / $242.90	Facility		$114.47	$149.16	$242.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $78.18 / $146.03	Professional		$61.78	$78.18	$146.03
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 $114.47 / $131.26 / $156.71	Facility		$114.47	$131.26	$156.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $156.71 / $237.01 / $431.39	Professional		$156.71	$237.01	$431.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $318.12 / $318.12 / $827.28	Facility		$318.12	$318.12	$827.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $688.68 / $951.02	Professional		$71.33	$688.68	$951.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $156.71 / $156.71 / $156.71	Professional		$156.71	$156.71	$156.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $156.71 / $156.71 / $1,000,000.00	Professional		$156.71	$156.71	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $78.18 / $130.30	Professional		$58.04	$78.18	$130.30