Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.29 / $174.29 / $174.29	Facility		$174.29	$174.29	$174.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.97 / $174.29 / $313.31	Professional		$164.97	$174.29	$313.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.50 / $380.05 / $628.80	Facility		$345.50	$380.05	$628.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.82 / $321.32 / $424.96	Professional		$298.82	$321.32	$424.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.56 / $739.37 / $739.37	Facility		$248.56	$739.37	$739.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $762.40 / $1,441.55	Facility		$192.91	$762.40	$1,441.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $508.64 / $653.88	Professional		$140.82	$508.64	$653.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $261.44 / $397.33	Facility		$99.43	$261.44	$397.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $337.23 / $414.60	Professional		$197.83	$337.23	$414.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.12 / $345.50 / $1,609.26	Facility		$172.12	$345.50	$1,609.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.87 / $180.99 / $376.20	Professional		$150.87	$180.99	$376.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $233.17	Professional		$50.00	$65.00	$233.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $261.44 / $397.33	Facility		$99.43	$261.44	$397.33
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $337.23 / $414.60	Professional		$197.83	$337.23	$414.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $345.50 / $531.73 / $924.41	Professional		$345.50	$531.73	$924.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $674.80 / $1,609.26	Facility		$192.91	$674.80	$1,609.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $192.91 / $1,742.90	Professional		$140.82	$192.91	$1,742.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $345.50 / $345.50 / $345.50	Professional		$345.50	$345.50	$345.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $275.88 / $345.50 / $345.50	Professional		$275.88	$345.50	$345.50
United Facility/Professional Professional Modifier Low / Median / High Price $128.35 / $178.01 / $376.20	Professional		$128.35	$178.01	$376.20