Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.93 / $171.93 / $171.93	Facility		$171.93	$171.93	$171.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $171.93 / $309.05	Professional		$162.72	$171.93	$309.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.82 / $374.90 / $620.29	Facility		$340.82	$374.90	$620.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.95 / $316.95 / $419.20	Professional		$316.95	$316.95	$419.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.19 / $729.35 / $729.35	Facility		$245.19	$729.35	$729.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $752.38 / $1,421.96	Facility		$227.96	$752.38	$1,421.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $494.06 / $645.03	Professional		$166.41	$494.06	$645.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $257.89 / $391.94	Facility		$98.06	$257.89	$391.94
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $195.14 / $332.68 / $408.98	Professional		$195.14	$332.68	$408.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.75 / $340.82 / $1,593.03	Facility		$169.75	$340.82	$1,593.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.82 / $178.54 / $371.11	Professional		$148.82	$178.54	$371.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,049.58	Professional		$50.00	$70.00	$1,049.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $257.89 / $391.94	Facility		$98.06	$257.89	$391.94
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $195.14 / $332.68 / $408.98	Professional		$195.14	$332.68	$408.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $340.82 / $524.52 / $911.36	Professional		$340.82	$524.52	$911.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $665.66 / $1,593.03	Facility		$227.96	$665.66	$1,593.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $227.96 / $4,160.85	Professional		$166.41	$227.96	$4,160.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $340.82 / $340.82 / $340.82	Professional		$340.82	$340.82	$340.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $340.82 / $340.82 / $340.82	Professional		$340.82	$340.82	$340.82
United Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $170.03 / $302.18	Professional		$126.58	$170.03	$302.18