Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.63 / $138.63 / $138.63	Facility		$138.63	$138.63	$138.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $158.74 / $291.44	Professional		$138.63	$158.74	$291.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.65 / $244.92 / $405.22	Facility		$222.65	$244.92	$405.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.06 / $222.65 / $278.31	Professional		$207.06	$222.65	$278.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $300.62 / $476.47 / $476.47	Facility		$300.62	$476.47	$476.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $827.40 / $1,066.47	Facility		$278.10	$827.40	$1,066.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $368.67 / $418.94	Professional		$203.01	$368.67	$418.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $84.12 / $207.95 / $267.18	Facility		$84.12	$207.95	$267.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $115.53 / $222.65 / $267.18	Professional		$115.53	$222.65	$267.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.63 / $257.14 / $1,140.66	Facility		$138.63	$257.14	$1,140.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.23 / $219.13 / $399.57	Professional		$186.23	$219.13	$399.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $199.99	Professional		$50.00	$70.00	$199.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $84.12 / $209.27 / $267.18	Facility		$84.12	$209.27	$267.18
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $115.53 / $222.65 / $267.18	Professional		$115.53	$222.65	$267.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $222.65 / $270.56 / $510.11	Professional		$222.65	$270.56	$510.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $432.34 / $1,140.66	Facility		$278.10	$432.34	$1,140.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $278.10 / $1,737.25	Professional		$203.01	$278.10	$1,737.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $340.07 / $340.07 / $340.07	Professional		$340.07	$340.07	$340.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $340.07 / $340.07 / $340.07	Professional		$340.07	$340.07	$340.07
United Facility/Professional Professional Modifier Low / Median / High Price $146.09 / $208.47 / $347.45	Professional		$146.09	$208.47	$347.45