Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.20 / $170.20 / $170.20	Facility		$170.20	$170.20	$170.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.20 / $211.95 / $405.74	Professional		$170.20	$211.95	$405.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.40 / $371.14 / $614.07	Facility		$337.40	$371.14	$614.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.81 / $313.77 / $415.00	Professional		$291.81	$313.77	$415.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.72 / $722.04 / $722.04	Facility		$242.72	$722.04	$722.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $697.93 / $1,407.96	Facility		$218.27	$697.93	$1,407.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $488.91 / $638.54	Professional		$159.34	$488.91	$638.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $108.67 / $255.30 / $388.01	Facility		$108.67	$255.30	$388.01
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $193.19 / $337.40 / $404.88	Professional		$193.19	$337.40	$404.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.20 / $337.40 / $1,743.72	Facility		$170.20	$337.40	$1,743.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.84 / $196.38 / $367.38	Professional		$152.84	$196.38	$367.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $189.62	Professional		$50.00	$70.00	$189.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $108.67 / $255.30 / $388.01	Facility		$108.67	$255.30	$388.01
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $193.19 / $337.40 / $404.88	Professional		$193.19	$337.40	$404.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $337.40 / $519.25 / $1,009.72	Professional		$337.40	$519.25	$1,009.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $658.98 / $1,743.72	Facility		$218.27	$658.98	$1,743.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $218.27 / $2,159.38	Professional		$159.34	$218.27	$2,159.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $337.40 / $337.40 / $337.40	Professional		$337.40	$337.40	$337.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $337.40 / $337.40 / $337.40	Professional		$337.40	$337.40	$337.40
United Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $168.60 / $322.62	Professional		$131.80	$168.60	$322.62