Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.59 / $333.59 / $333.59	Facility		$333.59	$333.59	$333.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.66 / $300.23 / $394.58	Professional		$210.66	$300.23	$394.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.90 / $911.64 / $911.64	Facility		$500.90	$911.64	$911.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.63 / $465.84 / $675.91	Professional		$465.63	$465.84	$675.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $270.19 / $1,071.46	Facility		$36.04	$270.19	$1,071.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $1,528.83	Facility		$307.55	$307.55	$1,528.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.42 / $580.50 / $725.63	Professional		$261.42	$580.50	$725.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $137.07 / $333.59 / $600.46	Facility		$137.07	$333.59	$600.46
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $286.69 / $286.69 / $600.82	Professional		$286.69	$286.69	$600.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.07 / $600.82 / $2,352.03	Facility		$137.07	$600.82	$2,352.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.31 / $249.79 / $557.66	Professional		$196.31	$249.79	$557.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $310.39	Professional		$50.00	$65.00	$310.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $137.07 / $333.59 / $600.46	Facility		$137.07	$333.59	$600.46
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $286.69 / $286.69 / $600.82	Professional		$286.69	$286.69	$600.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $100.18 / $130.07	Professional		$66.12	$100.18	$130.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $977.90 / $2,352.03	Facility		$307.55	$977.90	$2,352.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $353.87	Professional		$307.55	$307.55	$353.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $500.68 / $500.68 / $500.68	Professional		$500.68	$500.68	$500.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $500.68 / $500.68 / $500.68	Professional		$500.68	$500.68	$500.68
United Facility/Professional Professional Modifier Low / Median / High Price $166.24 / $249.79 / $557.66	Professional		$166.24	$249.79	$557.66