Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.01 / $131.01 / $131.01	Facility		$131.01	$131.01	$131.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $131.01 / $235.49	Professional		$124.00	$131.01	$235.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.70 / $285.67 / $472.65	Facility		$259.70	$285.67	$472.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.73 / $241.52 / $319.43	Professional		$233.73	$241.52	$319.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.83 / $555.76 / $555.76	Facility		$186.83	$555.76	$555.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $573.04 / $1,084.66	Facility		$168.00	$573.04	$1,084.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $432.52 / $491.50	Professional		$122.64	$432.52	$491.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $196.52 / $298.66	Facility		$74.72	$196.52	$298.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $253.46 / $311.64	Professional		$148.69	$253.46	$311.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $259.70 / $1,209.31	Facility		$129.34	$259.70	$1,209.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.41 / $136.04 / $282.77	Professional		$113.41	$136.04	$282.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $196.52 / $298.66	Facility		$74.72	$196.52	$298.66
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $253.46 / $311.64	Professional		$148.69	$253.46	$311.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $259.70 / $399.66 / $694.56	Professional		$259.70	$399.66	$694.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $507.22 / $1,209.31	Facility		$168.00	$507.22	$1,209.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $168.00 / $1,307.45	Professional		$122.64	$168.00	$1,307.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $259.70 / $259.70 / $259.70	Professional		$259.70	$259.70	$259.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $259.70 / $259.70 / $259.70	Professional		$259.70	$259.70	$259.70
United Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $133.76 / $259.70	Professional		$96.45	$133.76	$259.70