Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.11 / $178.11 / $178.11	Facility		$178.11	$178.11	$178.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $176.70 / $201.86	Professional		$87.57	$176.70	$201.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.76 / $197.76 / $242.40	Professional		$197.76	$197.76	$242.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $455.05 / $455.05 / $455.05	Facility		$455.05	$455.05	$455.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.30 / $667.62 / $758.66	Facility		$571.30	$667.62	$758.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $307.97 / $402.45	Professional		$101.80	$307.97	$402.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.17 / $180.74 / $223.27	Facility		$173.17	$180.74	$223.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.30 / $212.08 / $329.59	Facility		$155.30	$212.08	$329.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $106.09 / $198.15	Professional		$88.18	$106.09	$198.15
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 $155.30 / $178.11 / $212.64	Facility		$155.30	$178.11	$212.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $212.64 / $327.23 / $616.41	Professional		$212.64	$327.23	$616.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $431.66 / $510.65 / $1,179.17	Facility		$431.66	$510.65	$1,179.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $934.47 / $1,614.29	Professional		$101.80	$934.47	$1,614.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $212.64 / $212.64 / $212.64	Professional		$212.64	$212.64	$212.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $212.64 / $212.64 / $1,000,000.00	Professional		$212.64	$212.64	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.84 / $106.09 / $169.37	Professional		$82.84	$106.09	$169.37