Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.16 / $272.73 / $272.73	Facility		$237.16	$272.73	$272.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.65 / $237.16 / $423.60	Professional		$222.65	$237.16	$423.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.12 / $517.13 / $855.62	Facility		$470.12	$517.13	$855.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.10 / $437.21 / $578.24	Professional		$423.10	$437.21	$578.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.21 / $1,006.06 / $1,006.06	Facility		$338.21	$1,006.06	$1,006.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.02 / $971.84 / $1,962.19	Facility		$291.02	$971.84	$1,962.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $681.09 / $889.74	Professional		$212.45	$681.09	$889.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $120.15 / $355.74 / $540.64	Facility		$120.15	$355.74	$540.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $269.18 / $470.12 / $564.14	Professional		$269.18	$470.12	$564.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.99 / $470.12 / $2,011.56	Facility		$207.99	$470.12	$2,011.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.11 / $234.54 / $511.91	Professional		$186.11	$234.54	$511.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $473.01	Professional		$50.00	$70.00	$473.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $120.15 / $355.74 / $540.64	Facility		$120.15	$355.74	$540.64
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $269.18 / $470.12 / $564.14	Professional		$269.18	$470.12	$564.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $470.12 / $705.18 / $1,117.11	Professional		$470.12	$705.18	$1,117.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $291.02 / $918.20 / $2,011.56	Facility		$291.02	$918.20	$2,011.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $291.02 / $3,530.79	Professional		$212.45	$291.02	$3,530.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $470.12 / $470.12 / $470.12	Professional		$470.12	$470.12	$470.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $375.39 / $470.12 / $470.12	Professional		$375.39	$470.12	$470.12
United Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $184.46 / $217.13	Facility		$0.30	$184.46	$217.13
United Facility/Professional Professional Modifier Low / Median / High Price $156.36 / $234.54 / $416.82	Professional		$156.36	$234.54	$416.82