Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.97 / $122.97 / $122.97	Facility		$122.97	$122.97	$122.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $122.97 / $185.56	Professional		$97.71	$122.97	$185.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.75 / $268.13 / $443.63	Facility		$243.75	$268.13	$443.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.37 / $226.69 / $299.81	Professional		$219.37	$226.69	$299.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.35 / $521.63 / $521.63	Facility		$175.35	$521.63	$521.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $503.75 / $1,017.48	Facility		$142.94	$503.75	$1,017.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $353.44 / $461.33	Professional		$104.35	$353.44	$461.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.42 / $184.46 / $280.31	Facility		$64.42	$184.46	$280.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $139.55 / $200.02 / $292.50	Professional		$139.55	$200.02	$292.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.51 / $243.75 / $1,059.51	Facility		$111.51	$243.75	$1,059.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $121.60 / $265.42	Professional		$97.10	$121.60	$265.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $159.36	Professional		$50.00	$70.00	$159.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.42 / $184.46 / $280.31	Facility		$64.42	$184.46	$280.31
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $139.55 / $200.02 / $292.50	Professional		$139.55	$200.02	$292.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $243.75 / $375.11 / $599.21	Professional		$243.75	$375.11	$599.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $476.08 / $1,059.51	Facility		$142.94	$476.08	$1,059.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $142.94 / $1,294.30	Professional		$104.35	$142.94	$1,294.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $243.75 / $243.75 / $243.75	Professional		$243.75	$243.75	$243.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $243.75 / $243.75 / $243.75	Professional		$243.75	$243.75	$243.75
United Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $121.60 / $243.75	Professional		$81.06	$121.60	$243.75