Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.78 / $118.03 / $135.72	Facility		$109.78	$118.03	$135.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.71 / $130.74 / $267.75	Professional		$111.71	$130.74	$267.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.96 / $257.36 / $425.81	Facility		$233.96	$257.36	$425.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.56 / $217.58 / $287.77	Professional		$210.56	$217.58	$287.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.31 / $500.67 / $500.67	Facility		$168.31	$500.67	$500.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $516.95 / $976.90	Facility		$130.59	$516.95	$976.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.59 / $273.83 / $442.80	Professional		$130.59	$273.83	$442.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $175.86 / $269.05	Facility		$67.31	$175.86	$269.05
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $133.96 / $228.32 / $280.75	Professional		$133.96	$228.32	$280.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $233.96 / $1,089.41	Facility		$116.53	$233.96	$1,089.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.17 / $122.56 / $254.76	Professional		$102.17	$122.56	$254.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.98 / $58.52 / $85.00	Professional		$47.98	$58.52	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $177.05 / $269.05	Facility		$67.31	$177.05	$269.05
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $133.96 / $228.32 / $280.75	Professional		$133.96	$228.32	$280.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $233.96 / $360.08 / $625.30	Professional		$233.96	$360.08	$625.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $456.96 / $1,089.41	Facility		$130.59	$456.96	$1,089.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $130.59 / $1,177.86	Professional		$95.33	$130.59	$1,177.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $233.96 / $233.96 / $233.96	Professional		$233.96	$233.96	$233.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $233.96 / $233.96 / $233.96	Professional		$233.96	$233.96	$233.96
United Facility/Professional Professional Modifier Low / Median / High Price $86.89 / $116.72 / $223.72	Professional		$86.89	$116.72	$223.72