Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.34 / $173.34 / $173.34	Facility		$173.34	$173.34	$173.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.06 / $173.34 / $238.75	Professional		$164.06	$173.34	$238.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.60 / $377.96 / $625.35	Facility		$343.60	$377.96	$625.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.24 / $319.55 / $422.62	Professional		$309.24	$319.55	$422.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $247.19 / $735.30 / $735.30	Facility		$247.19	$735.30	$735.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $758.38 / $1,434.55	Facility		$192.25	$758.38	$1,434.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $497.81 / $650.29	Professional		$140.34	$497.81	$650.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.04 / $273.51 / $395.14	Facility		$104.04	$273.51	$395.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $335.36 / $343.60 / $412.32	Professional		$335.36	$343.60	$412.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.34 / $343.60 / $1,603.51	Facility		$173.34	$343.60	$1,603.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.74 / $182.57 / $376.08	Professional		$153.74	$182.57	$376.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $60.28 / $85.00	Professional		$49.42	$60.28	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $104.04 / $274.88 / $395.14	Facility		$104.04	$274.88	$395.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $335.36 / $343.60 / $412.32	Professional		$335.36	$343.60	$412.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $343.60 / $528.78 / $921.40	Professional		$343.60	$528.78	$921.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $671.10 / $1,603.51	Facility		$192.25	$671.10	$1,603.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $192.25 / $1,729.95	Professional		$140.34	$192.25	$1,729.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $343.60 / $343.60 / $343.60	Professional		$343.60	$343.60	$343.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $343.60 / $343.60 / $343.60	Professional		$343.60	$343.60	$343.60
United Facility/Professional Professional Modifier Low / Median / High Price $127.91 / $171.42 / $374.15	Professional		$127.91	$171.42	$374.15