Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.89 / $178.89 / $178.89	Facility		$178.89	$178.89	$178.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.30 / $190.25 / $318.41	Professional		$169.30	$190.25	$318.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.61 / $390.07 / $645.39	Facility		$354.61	$390.07	$645.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.89 / $329.79 / $436.17	Professional		$315.89	$329.79	$436.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.10 / $758.87 / $758.87	Facility		$255.10	$758.87	$758.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $783.42 / $1,480.74	Facility		$197.94	$783.42	$1,480.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $513.75 / $671.13	Professional		$144.50	$513.75	$671.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.03 / $268.33 / $407.80	Facility		$102.03	$268.33	$407.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $203.05 / $346.12 / $425.53	Professional		$203.05	$346.12	$425.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.62 / $354.61 / $1,651.29	Facility		$176.62	$354.61	$1,651.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.84 / $185.76 / $386.12	Professional		$154.84	$185.76	$386.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $106.05	Professional		$50.00	$65.00	$106.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $102.03 / $268.33 / $407.80	Facility		$102.03	$268.33	$407.80
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $203.05 / $346.12 / $425.53	Professional		$203.05	$346.12	$425.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.61 / $545.72 / $948.50	Professional		$354.61	$545.72	$948.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $692.60 / $1,651.29	Facility		$197.94	$692.60	$1,651.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $197.94 / $1,785.33	Professional		$144.50	$197.94	$1,785.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $354.61 / $354.61 / $354.61	Professional		$354.61	$354.61	$354.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $256.39 / $354.61 / $354.61	Professional		$256.39	$354.61	$354.61
United Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $176.91 / $314.39	Professional		$131.69	$176.91	$314.39