Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.87 / $299.87 / $299.87	Facility		$299.87	$299.87	$299.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.15 / $270.62 / $353.12	Professional		$188.15	$270.62	$353.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.60 / $769.13 / $769.13	Facility		$422.60	$769.13	$769.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.02 / $401.00 / $570.51	Professional		$393.02	$401.00	$570.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.19 / $293.88 / $904.41	Facility		$39.19	$293.88	$904.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.51 / $277.51 / $1,133.60	Facility		$277.51	$277.51	$1,133.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.51 / $492.00 / $615.00	Professional		$277.51	$492.00	$615.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $268.00 / $435.75 / $626.39	Facility		$268.00	$435.75	$626.39
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $361.86 / $361.86 / $653.63	Professional		$361.86	$361.86	$653.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $268.00 / $653.63 / $1,990.31	Facility		$268.00	$653.63	$1,990.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $297.20 / $567.25	Professional		$217.00	$297.20	$567.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $354.80	Professional		$50.00	$65.00	$354.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $268.00 / $449.81 / $626.39	Facility		$268.00	$449.81	$626.39
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $361.86 / $361.86 / $653.63	Professional		$361.86	$361.86	$653.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $96.23 / $124.95	Professional		$55.78	$96.23	$124.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $277.51 / $820.62 / $1,990.31	Facility		$277.51	$820.62	$1,990.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $277.51 / $277.51 / $371.51	Professional		$277.51	$277.51	$371.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $502.18 / $502.18 / $502.18	Professional		$502.18	$502.18	$502.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $502.18 / $502.18 / $502.18	Professional		$502.18	$502.18	$502.18
United Facility/Professional Professional Modifier Low / Median / High Price $185.84 / $293.85 / $538.28	Professional		$185.84	$293.85	$538.28