Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.41 / $193.41 / $193.41	Facility		$193.41	$193.41	$193.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.06 / $197.06 / $308.56	Professional		$164.06	$197.06	$308.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $383.40 / $421.74 / $697.79	Facility		$383.40	$421.74	$697.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.06 / $356.56 / $471.58	Professional		$345.06	$356.56	$471.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.81 / $820.48 / $820.48	Facility		$275.81	$820.48	$820.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.87 / $792.69 / $1,599.70	Facility		$215.87	$792.69	$1,599.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $555.47 / $725.61	Professional		$157.59	$555.47	$725.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $111.27 / $290.12 / $440.91	Facility		$111.27	$290.12	$440.91
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $219.53 / $383.40 / $460.64	Professional		$219.53	$383.40	$460.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.62 / $383.40 / $1,848.60	Facility		$192.62	$383.40	$1,848.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.36 / $201.08 / $430.89	Professional		$159.36	$201.08	$430.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $400.05	Professional		$50.00	$70.00	$400.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $111.27 / $290.12 / $440.91	Facility		$111.27	$290.12	$440.91
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $219.53 / $383.40 / $460.64	Professional		$219.53	$383.40	$460.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $383.40 / $590.03 / $1,033.81	Professional		$383.40	$590.03	$1,033.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $215.87 / $748.82 / $1,848.60	Facility		$215.87	$748.82	$1,848.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $215.87 / $2,819.48	Professional		$157.59	$215.87	$2,819.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $383.40 / $383.40 / $383.40	Professional		$383.40	$383.40	$383.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $383.40 / $383.40 / $383.40	Professional		$383.40	$383.40	$383.40
United Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $191.27 / $366.60	Professional		$143.63	$191.27	$366.60