Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.99 / $190.99 / $190.99	Facility		$190.99	$190.99	$190.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.79 / $190.99 / $341.46	Professional		$179.79	$190.99	$341.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.59 / $416.45 / $689.03	Facility		$378.59	$416.45	$689.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.73 / $352.09 / $465.66	Professional		$340.73	$352.09	$465.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.36 / $810.18 / $810.18	Facility		$272.36	$810.18	$810.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $782.35 / $1,580.11	Facility		$236.57	$782.35	$1,580.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $548.44 / $716.51	Professional		$172.70	$548.44	$716.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $121.94 / $286.49 / $435.38	Facility		$121.94	$286.49	$435.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $216.78 / $378.59 / $504.79	Professional		$216.78	$378.59	$504.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.99 / $388.39 / $2,077.64	Facility		$190.99	$388.39	$2,077.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $220.36 / $427.44	Professional		$171.50	$220.36	$427.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $179.26	Professional		$50.00	$70.00	$179.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $121.94 / $286.49 / $435.38	Facility		$121.94	$286.49	$435.38
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $216.78 / $378.59 / $504.79	Professional		$216.78	$378.59	$504.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $378.59 / $582.65 / $1,133.18	Professional		$378.59	$582.65	$1,133.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $739.44 / $2,077.64	Facility		$236.57	$739.44	$2,077.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $236.57 / $3,863.70	Professional		$172.70	$236.57	$3,863.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $378.59 / $378.59 / $378.59	Professional		$378.59	$378.59	$378.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $378.59 / $378.59 / $378.59	Professional		$378.59	$378.59	$378.59
United Facility/Professional Professional Modifier Low / Median / High Price $150.83 / $191.42 / $362.02	Professional		$150.83	$191.42	$362.02