Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $300.00 / $446.00	Facility		$240.00	$300.00	$446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $190.00 / $304.00	Professional		$154.00	$190.00	$304.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.00 / $520.00 / $550.00	Facility		$430.00	$520.00	$550.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $200.00 / $856.64	Professional		$80.00	$200.00	$856.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $488.78 / $488.78 / $508.00	Facility		$488.78	$488.78	$508.00
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 $229.63 / $538.55 / $612.00	Professional		$229.63	$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 $180.00 / $240.00 / $700.00	Facility		$180.00	$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 / $70.00 / $200.00	Professional		$50.00	$70.00	$200.00
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 $380.58 / $487.48 / $668.55	Professional		$380.58	$487.48	$668.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $506.11 / $950.00 / $950.00	Facility		$506.11	$950.00	$950.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $1,000.00 / $1,000.00	Professional		$290.00	$1,000.00	$1,000.00
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 Professional Modifier Low / Median / High Price $86.94 / $120.00 / $420.00	Professional		$86.94	$120.00	$420.00