Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $78.98 / $78.98	Facility		$78.98	$78.98	$78.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $78.98 / $144.16	Professional		$75.91	$78.98	$144.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.57 / $172.23 / $284.95	Facility		$156.57	$172.23	$284.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $145.61 / $192.58	Professional		$135.41	$145.61	$192.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.64 / $335.06 / $335.06	Facility		$112.64	$335.06	$335.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $323.66 / $653.60	Facility		$85.16	$323.66	$653.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $226.88 / $296.33	Professional		$62.17	$226.88	$296.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.89 / $118.49 / $180.06	Facility		$43.89	$118.49	$180.06
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $152.59 / $187.88	Professional		$89.66	$152.59	$187.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $156.57 / $717.68	Facility		$75.98	$156.57	$717.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.86 / $80.87 / $170.49	Professional		$62.86	$80.87	$170.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $58.24 / $85.00	Professional		$47.75	$58.24	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $43.89 / $118.49 / $180.06	Facility		$43.89	$118.49	$180.06
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $152.59 / $187.88	Professional		$89.66	$152.59	$187.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $156.57 / $240.97 / $407.50	Professional		$156.57	$240.97	$407.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $305.80 / $717.68	Facility		$85.16	$305.80	$717.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $85.16 / $810.66	Professional		$62.17	$85.16	$810.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $156.57 / $156.57 / $156.57	Professional		$156.57	$156.57	$156.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.04 / $156.57 / $156.57	Professional		$125.04	$156.57	$156.57
United Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $78.11 / $151.60	Professional		$53.24	$78.11	$151.60