Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.71 / $154.71 / $154.71	Facility		$154.71	$154.71	$154.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $154.71 / $214.65	Professional		$97.31	$154.71	$214.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.47 / $293.12 / $484.98	Facility		$266.47	$293.12	$484.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $247.82 / $327.75	Professional		$247.35	$247.82	$327.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.70 / $570.25 / $570.25	Facility		$191.70	$570.25	$570.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $795.00 / $1,112.65	Facility		$178.39	$795.00	$1,112.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $392.43 / $504.31	Professional		$130.22	$392.43	$504.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $223.19 / $306.44	Facility		$77.23	$223.19	$306.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $152.57 / $266.47 / $319.76	Professional		$152.57	$266.47	$319.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.69 / $278.48 / $1,247.08	Facility		$133.69	$278.48	$1,247.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.91 / $178.04 / $314.25	Professional		$122.91	$178.04	$314.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $169.34	Professional		$50.00	$70.00	$169.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $232.07 / $306.44	Facility		$77.23	$232.07	$306.44
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $152.57 / $266.47 / $319.76	Professional		$152.57	$266.47	$319.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $266.47 / $410.08 / $717.65	Professional		$266.47	$410.08	$717.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $520.44 / $1,247.08	Facility		$178.39	$520.44	$1,247.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $178.39 / $1,327.02	Professional		$130.22	$178.39	$1,327.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $266.47 / $266.47 / $266.47	Professional		$266.47	$266.47	$266.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $266.47 / $266.47 / $266.47	Professional		$266.47	$266.47	$266.47
United Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $159.88 / $254.81	Professional		$99.71	$159.88	$254.81