Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.27 / $169.27 / $169.27	Facility		$169.27	$169.27	$169.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $185.87 / $279.12	Professional		$146.97	$185.87	$279.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.53 / $369.08 / $610.66	Facility		$335.53	$369.08	$610.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.04 / $312.04 / $412.70	Professional		$312.04	$312.04	$412.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.38 / $718.03 / $718.03	Facility		$241.38	$718.03	$718.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $693.23 / $1,400.96	Facility		$216.42	$693.23	$1,400.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $486.09 / $635.03	Professional		$157.99	$486.09	$635.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $99.68 / $253.91 / $385.86	Facility		$99.68	$253.91	$385.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $192.11 / $335.53 / $412.64	Professional		$192.11	$335.53	$412.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.27 / $335.53 / $1,611.98	Facility		$169.27	$335.53	$1,611.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.75 / $180.13 / $378.80	Professional		$142.75	$180.13	$378.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $206.13	Professional		$50.00	$70.00	$206.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $99.68 / $253.91 / $385.86	Facility		$99.68	$253.91	$385.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $192.11 / $335.53 / $412.64	Professional		$192.11	$335.53	$412.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $335.53 / $516.36 / $926.42	Professional		$335.53	$516.36	$926.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $655.34 / $1,611.98	Facility		$216.42	$655.34	$1,611.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $216.42 / $2,164.82	Professional		$157.99	$216.42	$2,164.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $335.53 / $335.53 / $335.53	Professional		$335.53	$335.53	$335.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $335.53 / $335.53 / $335.53	Professional		$335.53	$335.53	$335.53
United Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $153.02 / $180.13	Facility		$0.25	$153.02	$180.13
United Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $178.44 / $335.53	Professional		$128.66	$178.44	$335.53