Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $212.42	Facility		$200.00	$200.00	$212.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $116.82 / $506.98	Professional		$72.70	$116.82	$506.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.98 / $245.47 / $259.63	Facility		$202.98	$245.47	$259.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $87.91 / $385.13	Professional		$37.76	$87.91	$385.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $230.73 / $230.73 / $318.16	Facility		$230.73	$230.73	$318.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.52 / $294.91 / $465.23	Facility		$259.52	$294.91	$465.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $347.45 / $394.83	Professional		$137.47	$347.45	$394.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $113.29 / $185.62	Facility		$72.70	$113.29	$185.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $113.29 / $185.62	Facility		$72.70	$113.29	$185.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $75.53 / $819.00	Professional		$55.00	$75.53	$819.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $84.70 / $132.05	Professional		$55.00	$84.70	$132.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $62.78 / $107.08 / $185.62	Facility		$62.78	$107.08	$185.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $189.80 / $259.18 / $321.20	Professional		$189.80	$259.18	$321.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $448.45 / $448.45 / $448.45	Facility		$448.45	$448.45	$448.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $226.58 / $472.05 / $819.00	Professional		$226.58	$472.05	$819.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $69.30 / $250.44	Professional		$69.30	$69.30	$250.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $510.97 / $629.37	Professional		$69.30	$510.97	$629.37
United Facility/Professional Professional Modifier Low / Median / High Price $53.06 / $56.65 / $197.63	Professional		$53.06	$56.65	$197.63