Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.83 / $294.83 / $294.83	Facility		$294.83	$294.83	$294.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.98 / $249.72 / $334.04	Professional		$177.98	$249.72	$334.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.60 / $774.59 / $774.59	Facility		$425.60	$774.59	$774.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.77 / $395.81 / $574.50	Professional		$395.77	$395.81	$574.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.39 / $272.83 / $910.70	Facility		$36.39	$272.83	$910.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.97 / $265.97 / $1,043.50	Facility		$265.97	$265.97	$1,043.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.07 / $452.63 / $565.78	Professional		$226.07	$452.63	$565.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $404.55 / $581.54	Facility		$215.00	$404.55	$581.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $335.94 / $335.94 / $606.83	Professional		$335.94	$335.94	$606.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $606.83 / $1,908.97	Facility		$215.00	$606.83	$1,908.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.72 / $283.42 / $529.82	Professional		$201.72	$283.42	$529.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $342.10	Professional		$50.00	$65.00	$342.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $404.55 / $581.54	Facility		$215.00	$404.55	$581.54
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $335.94 / $335.94 / $606.83	Professional		$335.94	$335.94	$606.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $89.92 / $116.76	Professional		$56.18	$89.92	$116.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $265.97 / $826.34 / $1,908.97	Facility		$265.97	$826.34	$1,908.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $265.97 / $265.97 / $315.91	Professional		$265.97	$265.97	$315.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $472.37 / $472.37 / $472.37	Professional		$472.37	$472.37	$472.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $472.37 / $472.37 / $472.37	Professional		$472.37	$472.37	$472.37
United Facility/Professional Professional Modifier Low / Median / High Price $168.66 / $272.80 / $504.30	Professional		$168.66	$272.80	$504.30