Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.53 / $193.53 / $193.53	Facility		$193.53	$193.53	$193.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $193.53 / $278.47	Professional		$146.63	$193.53	$278.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $383.64 / $422.00 / $698.22	Facility		$383.64	$422.00	$698.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.27 / $356.79 / $471.87	Professional		$345.27	$356.79	$471.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.99 / $820.99 / $820.99	Facility		$275.99	$820.99	$820.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $792.69 / $1,601.10	Facility		$225.30	$792.69	$1,601.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $555.94 / $726.08	Professional		$164.47	$555.94	$726.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $92.67 / $290.30 / $441.19	Facility		$92.67	$290.30	$441.19
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $219.66 / $383.64 / $460.37	Professional		$219.66	$383.64	$460.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $383.64 / $1,533.12	Facility		$160.41	$383.64	$1,533.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.54 / $191.39 / $417.73	Professional		$143.54	$191.39	$417.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $160.29	Professional		$50.00	$70.00	$160.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $92.67 / $290.30 / $441.19	Facility		$92.67	$290.30	$441.19
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $219.66 / $383.64 / $460.37	Professional		$219.66	$383.64	$460.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $383.64 / $575.46 / $861.17	Professional		$383.64	$575.46	$861.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $749.30 / $1,533.12	Facility		$225.30	$749.30	$1,533.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $225.30 / $2,110.67	Professional		$164.47	$225.30	$2,110.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $383.64 / $383.64 / $383.64	Professional		$383.64	$383.64	$383.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $383.64 / $383.64 / $383.64	Professional		$383.64	$383.64	$383.64
United Facility/Professional Facility Modifier Low / Median / High Price $460.37 / $460.37 / $460.37	Facility		$460.37	$460.37	$460.37
United Facility/Professional Professional Modifier Low / Median / High Price $127.60 / $191.39 / $358.86	Professional		$127.60	$191.39	$358.86