Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.02 / $154.02 / $154.02	Facility		$154.02	$154.02	$154.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.02 / $177.06 / $325.02	Professional		$154.02	$177.06	$325.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.71 / $274.68 / $454.47	Facility		$249.71	$274.68	$454.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.23 / $249.71 / $312.13	Professional		$232.23	$249.71	$312.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $328.86 / $534.38 / $534.38	Facility		$328.86	$534.38	$534.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $905.26 / $1,196.63	Facility		$312.30	$905.26	$1,196.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $413.47 / $469.85	Professional		$227.98	$413.47	$469.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $94.35 / $231.03 / $299.64	Facility		$94.35	$231.03	$299.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $129.57 / $249.71 / $299.64	Professional		$129.57	$249.71	$299.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.02 / $288.39 / $1,271.08	Facility		$154.02	$288.39	$1,271.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $209.99 / $247.07 / $437.12	Professional		$209.99	$247.07	$437.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $231.00	Professional		$50.00	$70.00	$231.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $94.35 / $232.70 / $299.64	Facility		$94.35	$232.70	$299.64
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $129.57 / $249.71 / $299.64	Professional		$129.57	$249.71	$299.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $249.71 / $302.89 / $563.46	Professional		$249.71	$302.89	$563.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $484.88 / $1,271.08	Facility		$312.30	$484.88	$1,271.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $312.30 / $2,156.94	Professional		$227.98	$312.30	$2,156.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $375.64 / $375.64 / $375.64	Professional		$375.64	$375.64	$375.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $375.64 / $375.64 / $375.64	Professional		$375.64	$375.64	$375.64
United Facility/Professional Professional Modifier Low / Median / High Price $174.99 / $228.06 / $392.07	Professional		$174.99	$228.06	$392.07