Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $147.24 / $196.32	Facility		$98.16	$147.24	$196.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $98.16 / $132.18	Professional		$32.54	$98.16	$132.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.60 / $211.04 / $218.90	Facility		$181.60	$211.04	$218.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $87.95 / $131.91	Professional		$87.95	$87.95	$131.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.06 / $205.15 / $205.15	Facility		$157.06	$205.15	$205.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $202.74 / $289.80	Facility		$96.58	$202.74	$289.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $87.64 / $106.36	Professional		$82.98	$87.64	$106.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $83.49 / $215.99	Facility		$73.56	$83.49	$215.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $196.32 / $196.32 / $196.32	Professional		$196.32	$196.32	$196.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.01 / $83.49 / $183.91	Facility		$59.01	$83.49	$183.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $103.33 / $196.32	Professional		$98.20	$103.33	$196.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $85.00 / $203.72	Professional		$83.49	$85.00	$203.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $83.49 / $215.99	Facility		$73.56	$83.49	$215.99
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $196.32 / $196.32 / $196.32	Professional		$196.32	$196.32	$196.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $139.32 / $283.80	Professional		$25.00	$139.32	$283.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $131.84 / $131.84 / $131.84	Facility		$131.84	$131.84	$131.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $137.82 / $137.82	Professional		$43.15	$137.82	$137.82
United Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $83.49 / $83.49	Facility		$83.49	$83.49	$83.49
United Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $109.94 / $170.80	Professional		$98.16	$109.94	$170.80