Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.86 / $269.86 / $269.86	Facility		$269.86	$269.86	$269.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $243.89 / $325.93	Professional		$173.66	$243.89	$325.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $369.90 / $673.22 / $673.22	Facility		$369.90	$673.22	$673.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.98 / $344.01 / $499.32	Professional		$343.98	$344.01	$499.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.08 / $260.74 / $1,115.59	Facility		$26.08	$260.74	$1,115.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $243.42 / $993.94	Facility		$243.42	$243.42	$993.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.42 / $431.25 / $539.05	Professional		$243.42	$431.25	$539.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $227.00 / $417.05 / $599.51	Facility		$227.00	$417.05	$599.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $298.48 / $298.48 / $625.57	Professional		$298.48	$298.48	$625.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $227.00 / $594.58 / $1,745.64	Facility		$227.00	$594.58	$1,745.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $182.68 / $248.48 / $479.80	Professional		$182.68	$248.48	$479.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $310.56	Professional		$50.00	$65.00	$310.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $227.00 / $417.05 / $599.51	Facility		$227.00	$417.05	$599.51
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $298.48 / $298.48 / $625.57	Professional		$298.48	$298.48	$625.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $74.94 / $97.30	Professional		$48.83	$74.94	$97.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $718.18 / $1,745.64	Facility		$243.42	$718.18	$1,745.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $243.42 / $243.42 / $325.88	Professional		$243.42	$243.42	$325.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $461.25 / $461.25 / $461.25	Professional		$461.25	$461.25	$461.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $461.25 / $461.25 / $461.25	Professional		$461.25	$461.25	$461.25
United Facility/Professional Professional Modifier Low / Median / High Price $153.29 / $248.48 / $461.25	Professional		$153.29	$248.48	$461.25