Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.44 / $364.73 / $558.48	Facility		$250.44	$364.73	$558.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $250.92 / $417.73	Professional		$243.61	$250.92	$417.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $304.51 / $543.25	Facility		$243.61	$304.51	$543.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $328.87	Professional		$243.61	$243.61	$328.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $333.52 / $360.54 / $389.78	Facility		$333.52	$360.54	$389.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $470.17 / $815.62	Facility		$243.61	$470.17	$815.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.23 / $355.21 / $403.65	Professional		$240.23	$355.21	$403.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $243.15 / $243.61 / $376.38	Facility		$243.15	$243.61	$376.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $364.73 / $487.22	Professional		$21.11	$364.73	$487.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $243.15 / $313.05 / $1,178.84	Facility		$243.15	$313.05	$1,178.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $243.15 / $332.92	Professional		$200.40	$243.15	$332.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $235.77	Professional		$50.00	$65.00	$235.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $243.15 / $243.61 / $313.64	Facility		$243.15	$243.61	$313.64
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $364.73 / $487.22	Professional		$21.11	$364.73	$487.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $314.70 / $801.90	Professional		$243.61	$314.70	$801.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $313.61 / $943.08 / $1,178.84	Facility		$313.61	$943.08	$1,178.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $238.54 / $243.61 / $243.61	Professional		$238.54	$243.61	$243.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $243.15 / $243.15 / $243.15	Professional		$243.15	$243.15	$243.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $342.03 / $342.03 / $342.03	Professional		$342.03	$342.03	$342.03
United Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $243.61 / $316.69	Professional		$219.25	$243.61	$316.69