Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.66 / $216.66 / $216.66	Facility		$216.66	$216.66	$216.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.07 / $216.66 / $389.47	Professional		$205.07	$216.66	$389.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.50 / $472.45 / $781.69	Facility		$429.50	$472.45	$781.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.47 / $399.44 / $528.28	Professional		$371.47	$399.44	$528.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $308.98 / $919.13 / $919.13	Facility		$308.98	$919.13	$919.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.01 / $948.75 / $1,792.84	Facility		$252.01	$948.75	$1,792.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $622.50 / $812.85	Professional		$183.97	$622.50	$812.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.57 / $324.99 / $493.93	Facility		$123.57	$324.99	$493.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $245.91 / $419.18 / $515.40	Professional		$245.91	$419.18	$515.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.91 / $429.50 / $2,000.04	Facility		$213.91	$429.50	$2,000.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.54 / $224.99 / $467.67	Professional		$187.54	$224.99	$467.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $289.83	Professional		$50.00	$70.00	$289.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $123.57 / $324.99 / $493.93	Facility		$123.57	$324.99	$493.93
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $245.91 / $419.18 / $515.40	Professional		$245.91	$419.18	$515.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $429.50 / $660.97 / $1,148.23	Professional		$429.50	$660.97	$1,148.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $252.01 / $838.86 / $2,000.04	Facility		$252.01	$838.86	$2,000.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $252.01 / $2,162.37	Professional		$183.97	$252.01	$2,162.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $429.50 / $429.50 / $429.50	Professional		$429.50	$429.50	$429.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $429.50 / $429.50 / $429.50	Professional		$429.50	$429.50	$429.50
United Facility/Professional Professional Modifier Low / Median / High Price $159.51 / $214.27 / $410.69	Professional		$159.51	$214.27	$410.69