Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.81 / $182.81 / $182.81	Facility		$182.81	$182.81	$182.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.01 / $166.19 / $182.81	Professional		$79.01	$166.19	$182.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.98 / $202.98 / $248.81	Professional		$202.98	$202.98	$248.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.08 / $467.08 / $467.08	Facility		$467.08	$467.08	$467.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $586.63 / $685.52 / $779.00	Facility		$586.63	$685.52	$779.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $316.41 / $413.06	Professional		$91.84	$316.41	$413.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $185.52 / $218.26	Facility		$160.41	$185.52	$218.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.41 / $196.72 / $338.30	Facility		$159.41	$196.72	$338.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.55 / $108.89 / $203.38	Professional		$79.55	$108.89	$203.38
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 $159.41 / $182.81 / $218.26	Facility		$159.41	$182.81	$218.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $211.27 / $327.39 / $556.04	Professional		$211.27	$327.39	$556.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $443.07 / $443.07 / $1,051.88	Facility		$443.07	$443.07	$1,051.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $959.13 / $1,224.61	Professional		$91.84	$959.13	$1,224.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.26 / $218.26 / $218.26	Professional		$218.26	$218.26	$218.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.26 / $218.26 / $1,000,000.00	Professional		$218.26	$218.26	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $98.32 / $238.62	Professional		$70.00	$98.32	$238.62