Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.49 / $94.49 / $94.49	Facility		$94.49	$94.49	$94.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $94.49 / $130.15	Professional		$67.93	$94.49	$130.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.31 / $206.04 / $340.90	Facility		$187.31	$206.04	$340.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $174.20 / $230.39	Professional		$162.00	$174.20	$230.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $400.84 / $400.84	Facility		$134.75	$400.84	$400.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $387.43 / $782.36	Facility		$89.11	$387.43	$782.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $271.41 / $354.50	Professional		$65.05	$271.41	$354.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $141.74 / $215.41	Facility		$45.25	$141.74	$215.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $107.25 / $174.91 / $224.77	Professional		$107.25	$174.91	$224.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $187.19 / $757.36	Facility		$78.31	$187.19	$757.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $93.45 / $203.96	Professional		$69.45	$93.45	$203.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $123.04	Professional		$50.00	$70.00	$123.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $141.74 / $215.41	Facility		$45.25	$141.74	$215.41
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $107.25 / $174.91 / $224.77	Professional		$107.25	$174.91	$224.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $187.31 / $280.97 / $420.55	Professional		$187.31	$280.97	$420.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $365.84 / $757.36	Facility		$89.11	$365.84	$757.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $89.11 / $899.09	Professional		$65.05	$89.11	$899.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $187.31 / $187.31 / $187.31	Professional		$187.31	$187.31	$187.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $187.31 / $187.31 / $187.31	Professional		$187.31	$187.31	$187.31
United Facility/Professional Professional Modifier Low / Median / High Price $63.64 / $93.45 / $187.31	Professional		$63.64	$93.45	$187.31