Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.52 / $194.52 / $194.52	Facility		$194.52	$194.52	$194.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.34 / $194.52 / $267.92	Professional		$137.34	$194.52	$267.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $385.60 / $424.16 / $701.79	Facility		$385.60	$424.16	$701.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.61 / $358.61 / $474.28	Professional		$358.61	$358.61	$474.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $277.39 / $825.18 / $825.18	Facility		$277.39	$825.18	$825.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $797.37 / $1,609.50	Facility		$180.71	$797.37	$1,609.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $558.75 / $729.78	Professional		$131.91	$558.75	$729.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.15 / $291.77 / $443.44	Facility		$93.15	$291.77	$443.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $220.79 / $385.60 / $462.72	Professional		$220.79	$385.60	$462.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.24 / $381.63 / $1,641.93	Facility		$161.24	$381.63	$1,641.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $192.37 / $419.87	Professional		$144.28	$192.37	$419.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $325.77	Professional		$50.00	$70.00	$325.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $93.15 / $291.77 / $443.44	Facility		$93.15	$291.77	$443.44
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $220.79 / $385.60 / $462.72	Professional		$220.79	$385.60	$462.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $385.60 / $578.40 / $866.19	Professional		$385.60	$578.40	$866.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $753.12 / $1,641.93	Facility		$180.71	$753.12	$1,641.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $180.71 / $2,898.90	Professional		$131.91	$180.71	$2,898.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $385.60 / $385.60 / $385.60	Professional		$385.60	$385.60	$385.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $385.60 / $385.60 / $385.60	Professional		$385.60	$385.60	$385.60
United Facility/Professional Professional Modifier Low / Median / High Price $131.01 / $192.37 / $385.60	Professional		$131.01	$192.37	$385.60