Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.78 / $171.78 / $171.78	Facility		$171.78	$171.78	$171.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $153.38 / $171.78	Professional		$69.62	$153.38	$171.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.73 / $190.73 / $233.80	Professional		$190.73	$190.73	$233.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $438.89 / $438.89 / $438.89	Facility		$438.89	$438.89	$438.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.49 / $644.45 / $732.33	Facility		$551.49	$644.45	$732.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $297.19 / $388.14	Professional		$80.93	$297.19	$388.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $149.78 / $171.78 / $205.09	Facility		$149.78	$171.78	$205.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.50 / $179.51 / $317.89	Facility		$142.50	$179.51	$317.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $102.32 / $191.10	Professional		$70.09	$102.32	$191.10
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 $141.21 / $171.78 / $205.09	Facility		$141.21	$171.78	$205.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.11 / $307.64 / $489.82	Professional		$186.11	$307.64	$489.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $416.33 / $416.33 / $897.48	Facility		$416.33	$416.33	$897.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $901.26 / $1,079.04	Professional		$80.93	$901.26	$1,079.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $205.09 / $205.09 / $205.09	Professional		$205.09	$205.09	$205.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $205.09 / $205.09 / $1,000,000.00	Professional		$205.09	$205.09	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $98.05 / $170.53	Professional		$65.86	$98.05	$170.53