Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $225.00 / $334.50	Facility		$180.00	$225.00	$334.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $142.50 / $228.00	Professional		$115.50	$142.50	$228.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.50 / $390.00 / $412.50	Facility		$322.50	$390.00	$412.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $150.00 / $642.48	Professional		$60.00	$150.00	$642.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $381.00 / $397.14 / $397.14	Facility		$381.00	$397.14	$397.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.71 / $482.29 / $739.84	Facility		$412.71	$482.29	$739.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.63 / $403.92 / $459.00	Professional		$172.63	$403.92	$459.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $115.50 / $180.00 / $525.00	Facility		$115.50	$180.00	$525.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $180.00 / $525.00	Facility		$135.00	$180.00	$525.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $90.00 / $462.58	Professional		$75.00	$90.00	$462.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $115.50 / $180.00 / $525.00	Facility		$115.50	$180.00	$525.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $285.44 / $366.00 / $501.96	Professional		$285.44	$366.00	$501.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $712.50 / $712.50	Facility		$300.00	$712.50	$712.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $217.50 / $750.00 / $750.00	Professional		$217.50	$750.00	$750.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $319.43 / $319.43 / $319.43	Professional		$319.43	$319.43	$319.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $435.93 / $819.00 / $819.00	Professional		$435.93	$819.00	$819.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $90.00 / $315.00	Professional		$65.20	$90.00	$315.00