Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Facility		$240.00	$240.00	$240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $188.00 / $240.00	Professional		$154.00	$188.00	$240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $13.28 / $800.00	Professional		$13.28	$13.28	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $304.18 / $304.18 / $304.18	Facility		$304.18	$304.18	$304.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.58 / $643.40 / $986.99	Facility		$550.58	$643.40	$986.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.52 / $538.55 / $612.00	Professional		$236.52	$538.55	$612.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $240.00 / $700.00	Facility		$154.00	$240.00	$700.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $240.00 / $700.00	Facility		$154.00	$240.00	$700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.00 / $616.77	Professional		$100.00	$120.00	$616.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $240.00 / $700.00	Facility		$154.00	$240.00	$700.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $333.72 / $476.66 / $668.55	Professional		$333.72	$476.66	$668.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $950.00 / $950.00	Facility		$400.00	$950.00	$950.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $996.00	Professional		$800.00	$800.00	$996.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $425.91 / $425.91 / $425.91	Professional		$425.91	$425.91	$425.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $581.24 / $1,092.00 / $1,092.00	Professional		$581.24	$1,092.00	$1,092.00
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $120.00 / $420.00	Professional		$90.00	$120.00	$420.00