Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.72 / $283.58 / $311.95	Facility		$159.72	$283.58	$311.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.18 / $169.87 / $472.26	Professional		$151.18	$169.87	$472.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.64 / $348.30 / $576.28	Facility		$316.64	$348.30	$576.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $294.48 / $389.46	Professional		$282.08	$294.48	$389.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.79 / $677.61 / $677.61	Facility		$227.79	$677.61	$677.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $699.29 / $1,321.19	Facility		$176.75	$699.29	$1,321.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $466.25 / $599.26	Professional		$129.03	$466.25	$599.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.10 / $238.00 / $364.14	Facility		$91.10	$238.00	$364.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $181.30 / $309.02 / $379.97	Professional		$181.30	$309.02	$379.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.69 / $316.64 / $1,474.48	Facility		$157.69	$316.64	$1,474.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.26 / $165.87 / $344.78	Professional		$138.26	$165.87	$344.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $129.56	Professional		$50.00	$70.00	$129.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $91.10 / $239.60 / $364.14	Facility		$91.10	$239.60	$364.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $181.30 / $309.02 / $379.97	Professional		$181.30	$309.02	$379.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.64 / $487.29 / $847.12	Professional		$316.64	$487.29	$847.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $618.44 / $1,474.48	Facility		$176.75	$618.44	$1,474.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $176.75 / $1,594.10	Professional		$129.03	$176.75	$1,594.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $316.64 / $316.64 / $316.64	Professional		$316.64	$316.64	$316.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $252.82 / $316.64 / $316.64	Professional		$252.82	$316.64	$316.64
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $157.97 / $280.74	Professional		$117.60	$157.97	$280.74