Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.41 / $173.41 / $173.41	Facility		$173.41	$173.41	$173.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $173.41 / $307.32	Professional		$161.82	$173.41	$307.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.76 / $378.14 / $625.64	Facility		$343.76	$378.14	$625.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.70 / $319.70 / $422.82	Professional		$319.70	$319.70	$422.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $247.29 / $735.65 / $735.65	Facility		$247.29	$735.65	$735.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $711.07 / $1,434.55	Facility		$189.91	$711.07	$1,434.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $498.28 / $650.59	Professional		$138.63	$498.28	$650.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $97.89 / $260.12 / $395.32	Facility		$97.89	$260.12	$395.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $196.83 / $343.76 / $412.51	Professional		$196.83	$343.76	$412.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.45 / $343.76 / $1,586.19	Facility		$169.45	$343.76	$1,586.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.99 / $180.07 / $374.31	Professional		$145.99	$180.07	$374.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $182.42	Professional		$50.00	$70.00	$182.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $97.89 / $260.12 / $395.32	Facility		$97.89	$260.12	$395.32
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $196.83 / $343.76 / $412.51	Professional		$196.83	$343.76	$412.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $343.76 / $529.01 / $909.35	Professional		$343.76	$529.01	$909.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $671.40 / $1,586.19	Facility		$189.91	$671.40	$1,586.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $189.91 / $1,931.89	Professional		$138.63	$189.91	$1,931.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $343.76 / $343.76 / $343.76	Professional		$343.76	$343.76	$343.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $274.49 / $343.76 / $343.76	Professional		$274.49	$343.76	$343.76
United Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $171.49 / $343.76	Professional		$136.94	$171.49	$343.76