Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $140.72 / $140.72	Facility		$140.72	$140.72	$140.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.49 / $140.72 / $251.61	Professional		$132.49	$140.72	$251.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.97 / $306.87 / $507.73	Facility		$278.97	$306.87	$507.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.07 / $259.44 / $343.13	Professional		$251.07	$259.44	$343.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.70 / $597.00 / $597.00	Facility		$200.70	$597.00	$597.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $576.91 / $1,164.44	Facility		$174.32	$576.91	$1,164.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $404.06 / $527.98	Professional		$127.25	$404.06	$527.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $211.10 / $320.82	Facility		$89.85	$211.10	$320.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $278.97 / $371.96	Professional		$159.72	$278.97	$371.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $278.97 / $1,530.87	Facility		$140.72	$278.97	$1,530.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.37 / $162.37 / $314.94	Professional		$126.37	$162.37	$314.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $126.53	Professional		$50.00	$70.00	$126.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $211.10 / $320.82	Facility		$89.85	$211.10	$320.82
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $278.97 / $371.96	Professional		$159.72	$278.97	$371.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $278.97 / $429.32 / $835.08	Professional		$278.97	$429.32	$835.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $544.86 / $1,530.87	Facility		$174.32	$544.86	$1,530.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $174.32 / $1,853.10	Professional		$127.25	$174.32	$1,853.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $278.97 / $278.97 / $278.97	Professional		$278.97	$278.97	$278.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $278.97 / $278.97 / $278.97	Professional		$278.97	$278.97	$278.97
United Facility/Professional Professional Modifier Low / Median / High Price $108.97 / $148.52 / $270.08	Professional		$108.97	$148.52	$270.08