Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.99 / $211.99 / $211.99	Facility		$211.99	$211.99	$211.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $180.68 / $211.99	Professional		$78.37	$180.68	$211.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.37 / $235.37 / $288.52	Professional		$235.37	$235.37	$288.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $541.61 / $541.61 / $541.61	Facility		$541.61	$541.61	$541.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.35 / $795.04 / $903.45	Facility		$680.35	$795.04	$903.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $366.56 / $479.00	Professional		$91.11	$366.56	$479.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $184.84 / $211.99 / $253.09	Facility		$184.84	$211.99	$253.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.86 / $221.53 / $392.29	Facility		$175.86	$221.53	$392.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $126.26 / $235.84	Professional		$84.18	$126.26	$235.84
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 $169.12 / $211.99 / $253.09	Facility		$169.12	$211.99	$253.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $209.42 / $379.64 / $551.16	Professional		$209.42	$379.64	$551.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $513.77 / $513.77 / $1,050.52	Facility		$513.77	$513.77	$1,050.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $1,112.22 / $1,252.80	Professional		$91.11	$1,112.22	$1,252.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $253.09 / $253.09 / $253.09	Professional		$253.09	$253.09	$253.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $253.09 / $253.09 / $1,000,000.00	Professional		$253.09	$253.09	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.15 / $121.00 / $201.06	Professional		$74.15	$121.00	$201.06