Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.74 / $356.98 / $3,278.04	Facility		$181.74	$356.98	$3,278.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $185.27 / $1,683.38	Professional		$176.45	$185.27	$1,683.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.56 / $326.43 / $393.48	Facility		$220.56	$326.43	$393.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $238.20	Professional		$176.45	$176.45	$238.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $230.84 / $323.42	Facility		$155.41	$230.84	$323.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $176.45 / $409.11	Professional		$155.41	$176.45	$409.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $267.02 / $491.11	Facility		$176.45	$267.02	$491.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $219.42 / $355.99	Professional		$176.45	$219.42	$355.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $181.74 / $633.65	Facility		$155.41	$181.74	$633.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $170.22 / $352.90 / $352.90	Professional		$170.22	$352.90	$352.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $160.08 / $633.65	Facility		$155.41	$160.08	$633.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $173.02 / $2,475.46	Professional		$155.41	$173.02	$2,475.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $181.74 / $1,224.44	Facility		$155.41	$181.74	$1,224.44
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $170.22 / $352.90 / $352.90	Professional		$170.22	$352.90	$352.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $267.05 / $559.00	Professional		$176.45	$267.05	$559.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $176.45 / $1,413.42	Facility		$176.45	$176.45	$1,413.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $460.73 / $2,475.46	Professional		$176.45	$460.73	$2,475.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $247.74 / $247.74 / $373.50	Professional		$247.74	$247.74	$373.50
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $181.76 / $223.24	Professional		$176.45	$181.76	$223.24