Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.32 / $164.32 / $164.32	Facility		$164.32	$164.32	$164.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $267.22 / $345.48	Professional		$164.32	$267.22	$345.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.95 / $290.35 / $480.39	Facility		$263.95	$290.35	$480.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.95 / $329.93	Professional		$245.47	$263.95	$329.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.27 / $564.85 / $564.85	Facility		$356.27	$564.85	$564.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $980.30 / $1,265.21	Facility		$301.51	$980.30	$1,265.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $437.04 / $496.64	Professional		$220.10	$437.04	$496.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $99.73 / $246.48 / $316.74	Facility		$99.73	$246.48	$316.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $136.96 / $263.95 / $316.74	Professional		$136.96	$263.95	$316.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.32 / $304.83 / $1,352.24	Facility		$164.32	$304.83	$1,352.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.78 / $259.77 / $473.54	Professional		$220.78	$259.77	$473.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.41 / $55.00 / $85.00	Professional		$40.41	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $99.73 / $248.06 / $316.74	Facility		$99.73	$248.06	$316.74
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $136.96 / $263.95 / $316.74	Professional		$136.96	$263.95	$316.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.95 / $320.25 / $604.62	Professional		$263.95	$320.25	$604.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $512.52 / $1,352.24	Facility		$301.51	$512.52	$1,352.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $301.51 / $2,058.85	Professional		$220.10	$301.51	$2,058.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $403.08 / $403.08	Professional		$403.08	$403.08	$403.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $403.08 / $403.08	Professional		$403.08	$403.08	$403.08
United Facility/Professional Professional Modifier Low / Median / High Price $173.18 / $247.06 / $413.58	Professional		$173.18	$247.06	$413.58