Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.46 / $162.46 / $162.46	Facility		$162.46	$162.46	$162.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.10 / $162.46 / $264.17	Professional		$139.10	$162.46	$264.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.04 / $354.24 / $586.11	Facility		$322.04	$354.24	$586.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.52 / $299.50 / $396.10	Professional		$278.52	$299.50	$396.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.68 / $689.17 / $689.17	Facility		$231.68	$689.17	$689.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $711.30 / $1,343.58	Facility		$181.86	$711.30	$1,343.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $474.35 / $609.49	Professional		$132.76	$474.35	$609.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.74 / $243.69 / $370.35	Facility		$93.74	$243.69	$370.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $184.39 / $322.04 / $388.06	Professional		$184.39	$322.04	$388.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.26 / $322.04 / $1,549.83	Facility		$162.26	$322.04	$1,549.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.25 / $172.71 / $363.00	Professional		$134.25	$172.71	$363.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $173.99	Professional		$50.00	$70.00	$173.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $93.74 / $243.69 / $370.35	Facility		$93.74	$243.69	$370.35
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $184.39 / $322.04 / $388.06	Professional		$184.39	$322.04	$388.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $322.04 / $495.61 / $871.21	Professional		$322.04	$495.61	$871.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $628.98 / $1,549.83	Facility		$181.86	$628.98	$1,549.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $181.86 / $1,979.55	Professional		$132.76	$181.86	$1,979.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $322.04 / $322.04 / $322.04	Professional		$322.04	$322.04	$322.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $322.04 / $322.04 / $322.04	Professional		$322.04	$322.04	$322.04
United Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $143.90 / $189.98	Facility		$0.23	$143.90	$189.98
United Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $169.40 / $350.66	Professional		$121.00	$169.40	$350.66