Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.16 / $223.16 / $223.16	Facility		$223.16	$223.16	$223.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.29 / $260.58 / $307.37	Professional		$216.29	$260.58	$307.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.37 / $486.61 / $805.11	Facility		$442.37	$486.61	$805.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.40 / $411.40 / $544.11	Professional		$411.40	$411.40	$544.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $318.24 / $946.67 / $946.67	Facility		$318.24	$946.67	$946.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $914.62 / $1,846.02	Facility		$345.03	$914.62	$1,846.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $641.25 / $837.21	Professional		$251.87	$641.25	$837.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $334.74 / $508.73	Facility		$142.47	$334.74	$508.73
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $253.29 / $442.37 / $589.82	Professional		$253.29	$442.37	$589.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.16 / $442.57 / $2,336.91	Facility		$223.16	$442.57	$2,336.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.39 / $262.52 / $499.43	Professional		$200.39	$262.52	$499.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $474.51	Professional		$50.00	$70.00	$474.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $334.74 / $508.73	Facility		$142.47	$334.74	$508.73
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $253.29 / $442.37 / $589.82	Professional		$253.29	$442.37	$589.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $442.37 / $680.78 / $1,323.88	Professional		$442.37	$680.78	$1,323.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $864.00 / $2,336.91	Facility		$345.03	$864.00	$2,336.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $345.03 / $3,643.25	Professional		$251.87	$345.03	$3,643.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $442.37 / $442.37 / $442.37	Professional		$442.37	$442.37	$442.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $353.22 / $442.37 / $442.37	Professional		$353.22	$442.37	$442.37
United Facility/Professional Professional Modifier Low / Median / High Price $176.23 / $220.69 / $413.41	Professional		$176.23	$220.69	$413.41