Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $187.00 / $187.00	Facility		$187.00	$187.00	$187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $161.61 / $187.00	Professional		$74.63	$161.61	$187.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.63 / $207.63 / $254.51	Professional		$207.63	$207.63	$254.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $477.78 / $477.78 / $477.78	Facility		$477.78	$477.78	$477.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.15 / $701.32 / $796.95	Facility		$600.15	$701.32	$796.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $323.44 / $422.54	Professional		$86.76	$323.44	$422.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $163.04 / $187.00 / $223.26	Facility		$163.04	$187.00	$223.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.13 / $195.42 / $346.05	Facility		$155.13	$195.42	$346.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $111.38 / $208.04	Professional		$75.14	$111.38	$208.04
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 $153.57 / $187.00 / $223.26	Facility		$153.57	$187.00	$223.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.43 / $334.89 / $524.88	Professional		$199.43	$334.89	$524.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $453.22 / $453.22 / $969.84	Facility		$453.22	$453.22	$969.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $981.14 / $1,093.50	Professional		$86.76	$981.14	$1,093.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $223.26 / $223.26 / $223.26	Professional		$223.26	$223.26	$223.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $223.26 / $223.26 / $1,000,000.00	Professional		$223.26	$223.26	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $100.56 / $225.25	Professional		$70.00	$100.56	$225.25