Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.25 / $134.83 / $134.83	Facility		$117.25	$134.83	$134.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.08 / $124.15 / $202.21	Professional		$110.08	$124.15	$202.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.43 / $255.67 / $423.02	Facility		$232.43	$255.67	$423.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.18 / $216.16 / $285.88	Professional		$209.18	$216.16	$285.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.20 / $497.40 / $497.40	Facility		$167.20	$497.40	$497.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $480.29 / $969.90	Facility		$144.84	$480.29	$969.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $387.10 / $439.89	Professional		$105.73	$387.10	$439.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.66 / $175.88 / $267.29	Facility		$74.66	$175.88	$267.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $133.06 / $232.43 / $309.07	Professional		$133.06	$232.43	$309.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.25 / $244.05 / $1,226.72	Facility		$117.25	$244.05	$1,226.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $134.91 / $262.38	Professional		$105.00	$134.91	$262.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $316.33	Professional		$50.00	$70.00	$316.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $74.66 / $175.88 / $267.29	Facility		$74.66	$175.88	$267.29
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $133.06 / $232.43 / $309.07	Professional		$133.06	$232.43	$309.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $232.43 / $357.68 / $693.56	Professional		$232.43	$357.68	$693.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $453.96 / $1,226.72	Facility		$144.84	$453.96	$1,226.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $144.84 / $1,483.54	Professional		$105.73	$144.84	$1,483.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $232.43 / $232.43 / $232.43	Professional		$232.43	$232.43	$232.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $185.56 / $232.43 / $232.43	Professional		$185.56	$232.43	$232.43
United Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $123.64 / $232.43	Professional		$92.59	$123.64	$232.43