Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.47 / $349.47 / $349.47	Facility		$349.47	$349.47	$349.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.53 / $259.60 / $430.73	Professional		$229.53	$259.60	$430.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.60 / $818.27 / $818.27	Facility		$449.60	$818.27	$818.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $418.13 / $606.96	Professional		$418.11	$418.13	$606.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $316.95 / $1,631.49	Facility		$31.69	$316.95	$1,631.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $410.23 / $557.41	Facility		$310.87	$410.23	$557.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.87 / $543.75 / $679.69	Professional		$310.87	$543.75	$679.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.71 / $524.21 / $876.74	Facility		$208.71	$524.21	$876.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $914.86	Professional		$436.52	$436.52	$914.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.71 / $762.38 / $2,228.01	Facility		$208.71	$762.38	$2,228.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.56 / $354.47 / $627.71	Professional		$230.56	$354.47	$627.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $58.40 / $384.12	Professional		$1.32	$58.40	$384.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $208.71 / $609.90 / $876.74	Facility		$208.71	$609.90	$876.74
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $914.86	Professional		$436.52	$436.52	$914.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $95.44 / $123.93	Professional		$59.35	$95.44	$123.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $872.98 / $2,228.01	Facility		$310.87	$872.98	$2,228.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $310.87 / $310.87 / $416.18	Professional		$310.87	$310.87	$416.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $629.26 / $629.26 / $629.26	Professional		$629.26	$629.26	$629.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $629.26 / $629.26 / $629.26	Professional		$629.26	$629.26	$629.26
United Facility/Professional Professional Modifier Low / Median / High Price $218.93 / $346.58 / $605.55	Professional		$218.93	$346.58	$605.55