Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.69 / $177.69 / $177.69	Facility		$177.69	$177.69	$177.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $181.04 / $319.36	Professional		$168.16	$181.04	$319.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.24 / $387.46 / $641.08	Facility		$352.24	$387.46	$641.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.86 / $327.58 / $433.25	Professional		$323.86	$327.58	$433.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $253.39 / $753.79 / $753.79	Facility		$253.39	$753.79	$753.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $777.44 / $1,470.94	Facility		$212.98	$777.44	$1,470.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.98 / $412.46 / $666.64	Professional		$212.98	$412.46	$666.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $101.34 / $266.54 / $405.08	Facility		$101.34	$266.54	$405.08
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $201.66 / $343.78 / $422.69	Professional		$201.66	$343.78	$422.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.42 / $352.24 / $1,640.11	Facility		$175.42	$352.24	$1,640.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $184.51 / $383.54	Professional		$153.80	$184.51	$383.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $232.21	Professional		$50.00	$70.00	$232.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $101.34 / $266.54 / $405.08	Facility		$101.34	$266.54	$405.08
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $201.66 / $343.78 / $422.69	Professional		$201.66	$343.78	$422.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $352.24 / $542.07 / $941.47	Professional		$352.24	$542.07	$941.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $687.96 / $1,640.11	Facility		$212.98	$687.96	$1,640.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $212.98 / $1,773.08	Professional		$155.47	$212.98	$1,773.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $352.24 / $352.24 / $352.24	Professional		$352.24	$352.24	$352.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $352.24 / $352.24 / $352.24	Professional		$352.24	$352.24	$352.24
United Facility/Professional Professional Modifier Low / Median / High Price $122.90 / $175.72 / $336.80	Professional		$122.90	$175.72	$336.80