Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.43 / $210.43 / $210.43	Facility		$210.43	$210.43	$210.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.36 / $197.44 / $216.46	Professional		$93.36	$197.44	$216.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.64 / $233.64 / $286.39	Professional		$233.64	$233.64	$286.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.63 / $537.63 / $537.63	Facility		$537.63	$537.63	$537.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.94 / $788.72 / $896.27	Facility		$674.94	$788.72	$896.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $364.22 / $475.48	Professional		$108.53	$364.22	$475.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $184.65 / $213.55 / $251.23	Facility		$184.65	$213.55	$251.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $231.66 / $389.41	Facility		$183.48	$231.66	$389.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $125.33 / $234.10	Professional		$94.00	$125.33	$234.10
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 $183.48 / $210.43 / $251.23	Facility		$183.48	$210.43	$251.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $249.38 / $376.85 / $656.34	Professional		$249.38	$376.85	$656.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $510.00 / $1,233.46	Facility		$510.00	$510.00	$1,233.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $1,104.03 / $1,492.23	Professional		$108.53	$1,104.03	$1,492.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $251.23 / $251.23 / $251.23	Professional		$251.23	$251.23	$251.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $251.23 / $251.23 / $1,000,000.00	Professional		$251.23	$251.23	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.32 / $125.33 / $199.59	Professional		$88.32	$125.33	$199.59