Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.37 / $114.37 / $114.37	Facility		$114.37	$114.37	$114.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $114.37 / $193.69	Professional		$102.99	$114.37	$193.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.72 / $249.39 / $412.63	Facility		$226.72	$249.39	$412.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.09 / $210.85 / $278.86	Professional		$196.09	$210.85	$278.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.11 / $485.18 / $485.18	Facility		$163.11	$485.18	$485.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $469.05 / $946.11	Facility		$135.51	$469.05	$946.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $328.59 / $429.09	Professional		$98.92	$328.59	$429.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $171.56 / $260.73	Facility		$69.84	$171.56	$260.73
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $129.82 / $226.72 / $289.14	Professional		$129.82	$226.72	$289.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.37 / $226.72 / $1,155.77	Facility		$114.37	$226.72	$1,155.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $129.82 / $255.96	Professional		$100.03	$129.82	$255.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $210.89	Professional		$50.00	$70.00	$210.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $171.56 / $260.73	Facility		$69.84	$171.56	$260.73
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $129.82 / $226.72 / $289.14	Professional		$129.82	$226.72	$289.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $226.72 / $348.93 / $649.39	Professional		$226.72	$348.93	$649.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $442.82 / $1,155.77	Facility		$135.51	$442.82	$1,155.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $135.51 / $2,791.49	Professional		$98.92	$135.51	$2,791.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $226.72 / $226.72 / $226.72	Professional		$226.72	$226.72	$226.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $226.72 / $226.72 / $226.72	Professional		$226.72	$226.72	$226.72
United Facility/Professional Professional Modifier Low / Median / High Price $90.16 / $113.11 / $202.67	Professional		$90.16	$113.11	$202.67