Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.49 / $197.49 / $197.49	Facility		$197.49	$197.49	$197.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.03 / $197.49 / $322.91	Professional		$170.03	$197.49	$322.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $391.49 / $430.64 / $712.51	Facility		$391.49	$430.64	$712.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.09 / $364.09 / $481.53	Professional		$364.09	$364.09	$481.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.64 / $837.79 / $837.79	Facility		$281.64	$837.79	$837.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $809.57 / $1,634.69	Facility		$227.07	$809.57	$1,634.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $567.19 / $740.91	Professional		$165.76	$567.19	$740.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $115.31 / $296.24 / $450.21	Facility		$115.31	$296.24	$450.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $224.16 / $391.49 / $477.38	Professional		$224.16	$391.49	$477.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.49 / $391.49 / $1,873.73	Facility		$197.49	$391.49	$1,873.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.14 / $208.39 / $441.98	Professional		$165.14	$208.39	$441.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $237.26	Professional		$50.00	$70.00	$237.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $115.31 / $296.24 / $450.21	Facility		$115.31	$296.24	$450.21
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $224.16 / $391.49 / $477.38	Professional		$224.16	$391.49	$477.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $391.49 / $602.51 / $1,071.95	Professional		$391.49	$602.51	$1,071.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $764.62 / $1,873.73	Facility		$227.07	$764.62	$1,873.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $227.07 / $2,779.43	Professional		$165.76	$227.07	$2,779.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $391.49 / $391.49 / $391.49	Professional		$391.49	$391.49	$391.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $391.49 / $391.49 / $391.49	Professional		$391.49	$391.49	$391.49
United Facility/Professional Professional Modifier Low / Median / High Price $148.85 / $195.31 / $374.35	Professional		$148.85	$195.31	$374.35