Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.86 / $177.86 / $177.86	Facility		$177.86	$177.86	$177.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $161.69 / $177.86	Professional		$75.59	$161.69	$177.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.48 / $197.48 / $242.06	Professional		$197.48	$197.48	$242.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $454.41 / $454.41 / $454.41	Facility		$454.41	$454.41	$454.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.41 / $666.57 / $757.46	Facility		$570.41	$666.57	$757.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $307.50 / $401.86	Professional		$87.87	$307.50	$401.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $156.06 / $180.49 / $212.34	Facility		$156.06	$180.49	$212.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.08 / $185.86 / $329.13	Facility		$155.08	$185.86	$329.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.11 / $105.94 / $197.87	Professional		$76.11	$105.94	$197.87
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 $155.08 / $177.86 / $212.34	Facility		$155.08	$177.86	$212.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $202.02 / $318.51 / $531.69	Professional		$202.02	$318.51	$531.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $431.05 / $431.05 / $1,022.25	Facility		$431.05	$431.05	$1,022.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $933.12 / $1,182.56	Professional		$87.87	$933.12	$1,182.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $212.34 / $212.34 / $212.34	Professional		$212.34	$212.34	$212.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $212.34 / $212.34 / $1,000,000.00	Professional		$212.34	$212.34	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $105.94 / $176.56	Professional		$71.51	$105.94	$176.56