Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.70 / $120.70 / $120.70	Facility		$120.70	$120.70	$120.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $105.98 / $141.33	Professional		$75.31	$105.98	$141.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.60 / $312.31 / $312.31	Facility		$171.60	$312.31	$312.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.59 / $159.62 / $231.66	Professional		$159.59	$159.62	$231.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $120.99 / $459.48	Facility		$12.10	$120.99	$459.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $442.45	Facility		$115.90	$115.90	$442.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $192.00 / $240.00	Professional		$115.90	$192.00	$240.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $171.77 / $246.92	Facility		$103.00	$171.77	$246.92
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $257.64 / $257.64 / $257.64	Professional		$257.64	$257.64	$257.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $246.92 / $782.36	Facility		$103.00	$246.92	$782.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $104.92 / $219.03	Professional		$77.17	$104.92	$219.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $58.40 / $80.88	Professional		$48.52	$58.40	$80.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $181.05 / $246.92	Facility		$103.00	$181.05	$246.92
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $257.64 / $257.64 / $257.64	Professional		$257.64	$257.64	$257.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $37.07 / $48.14	Professional		$22.65	$37.07	$48.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $333.26 / $782.36	Facility		$65.00	$333.26	$782.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $115.90 / $144.38	Professional		$115.90	$115.90	$144.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $197.69 / $197.69 / $197.69	Professional		$197.69	$197.69	$197.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $197.69 / $197.69 / $197.69	Professional		$197.69	$197.69	$197.69
United Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $104.92 / $197.69	Professional		$72.45	$104.92	$197.69