Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.82 / $138.31 / $138.31	Facility		$41.82	$138.31	$138.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $153.37 / $296.39	Professional		$29.75	$153.37	$296.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.19 / $301.61 / $499.03	Facility		$274.19	$301.61	$499.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.15 / $255.00 / $337.25	Professional		$252.15	$255.00	$337.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.23 / $329.03 / $586.77	Facility		$197.23	$329.03	$586.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.19 / $287.89 / $385.95	Professional		$274.19	$287.89	$385.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $580.05 / $1,144.83	Facility		$142.00	$580.05	$1,144.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $397.50 / $518.92	Professional		$103.66	$397.50	$518.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.31 / $218.23 / $315.32	Facility		$138.31	$218.23	$315.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $274.19 / $329.03	Professional		$267.62	$274.19	$329.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.58 / $274.19 / $1,281.52	Facility		$156.58	$274.19	$1,281.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.61 / $145.35 / $300.07	Professional		$124.61	$145.35	$300.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $55.00 / $85.00	Professional		$44.71	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $138.31 / $219.35 / $315.32	Facility		$138.31	$219.35	$315.32
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $274.19 / $329.03	Professional		$267.62	$274.19	$329.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $274.19 / $421.95 / $733.70	Professional		$274.19	$421.95	$733.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $535.52 / $1,281.52	Facility		$142.00	$535.52	$1,281.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $142.00 / $1,380.26	Professional		$103.66	$142.00	$1,380.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $274.19 / $274.19 / $274.19	Professional		$274.19	$274.19	$274.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $274.19 / $274.19 / $274.19	Professional		$274.19	$274.19	$274.19
United Facility/Professional Professional Modifier Low / Median / High Price $109.23 / $136.78 / $274.19	Professional		$109.23	$136.78	$274.19