Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Facility		$98.16	$98.16	$98.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $98.16 / $174.74	Professional		$92.91	$98.16	$174.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.59 / $214.05 / $354.15	Facility		$194.59	$214.05	$354.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.13 / $180.97 / $239.34	Professional		$175.13	$180.97	$239.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.99 / $416.42 / $416.42	Facility		$139.99	$416.42	$416.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $429.78 / $811.75	Facility		$129.63	$429.78	$811.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $324.08 / $368.28	Professional		$94.64	$324.08	$368.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $55.99 / $146.26 / $223.78	Facility		$55.99	$146.26	$223.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $189.93 / $233.51	Professional		$111.42	$189.93	$233.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.92 / $194.59 / $906.14	Facility		$96.92	$194.59	$906.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $101.93 / $211.88	Professional		$84.97	$101.93	$211.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $58.40 / $85.00	Professional		$47.55	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $55.99 / $147.24 / $223.78	Facility		$55.99	$147.24	$223.78
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $189.93 / $233.51	Professional		$111.42	$189.93	$233.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.59 / $299.45 / $519.91	Professional		$194.59	$299.45	$519.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $380.06 / $906.14	Facility		$129.63	$380.06	$906.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $129.63 / $979.57	Professional		$94.64	$129.63	$979.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.59 / $194.59 / $194.59	Professional		$194.59	$194.59	$194.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $155.37 / $194.59 / $194.59	Professional		$155.37	$194.59	$194.59
United Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $97.08 / $194.59	Professional		$77.52	$97.08	$194.59