Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.05 / $249.90 / $569.36	Facility		$197.05	$249.90	$569.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.87 / $219.25 / $453.15	Professional		$174.87	$219.25	$453.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.62 / $429.68 / $710.93	Facility		$390.62	$429.68	$710.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.85 / $363.28 / $480.46	Professional		$337.85	$363.28	$480.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.00 / $835.93 / $835.93	Facility		$281.00	$835.93	$835.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $862.58 / $1,630.49	Facility		$233.36	$862.58	$1,630.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.36 / $466.59 / $739.28	Professional		$233.36	$466.59	$739.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.58 / $312.50 / $449.21	Facility		$117.58	$312.50	$449.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $223.64 / $390.62 / $486.75	Professional		$223.64	$390.62	$486.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.05 / $390.62 / $1,920.30	Facility		$197.05	$390.62	$1,920.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.39 / $212.48 / $470.59	Professional		$168.39	$212.48	$470.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $168.50	Professional		$50.00	$70.00	$168.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $117.58 / $312.50 / $449.21	Facility		$117.58	$312.50	$449.21
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $223.64 / $390.62 / $486.75	Professional		$223.64	$390.62	$486.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $390.62 / $601.11 / $1,093.03	Professional		$390.62	$601.11	$1,093.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $762.92 / $1,920.30	Facility		$233.36	$762.92	$1,920.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $233.36 / $2,544.30	Professional		$170.35	$233.36	$2,544.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $390.62 / $390.62 / $390.62	Professional		$390.62	$390.62	$390.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $311.87 / $390.62 / $390.62	Professional		$311.87	$390.62	$390.62
United Facility/Professional Professional Modifier Low / Median / High Price $142.60 / $194.87 / $390.62	Professional		$142.60	$194.87	$390.62