Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $157.36 / $511.48	Facility		$98.80	$157.36	$511.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $161.50 / $283.20	Professional		$85.00	$161.50	$283.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $311.94 / $343.13 / $567.73	Facility		$311.94	$343.13	$567.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.10 / $290.10 / $383.68	Professional		$290.10	$290.10	$383.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $224.41 / $374.33 / $667.55	Facility		$224.41	$374.33	$667.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $311.94 / $327.54 / $464.00	Professional		$311.94	$327.54	$464.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $659.21 / $1,301.58	Facility		$214.16	$659.21	$1,301.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $451.88 / $590.38	Professional		$156.34	$451.88	$590.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $157.36 / $249.55 / $358.73	Facility		$157.36	$249.55	$358.73
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $311.94 / $363.95 / $374.33	Professional		$311.94	$363.95	$374.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.36 / $311.94 / $1,620.96	Facility		$157.36	$311.94	$1,620.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.49 / $207.50 / $353.76	Professional		$146.49	$207.50	$353.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $153.09	Professional		$50.00	$70.00	$153.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $157.36 / $240.76 / $358.73	Facility		$157.36	$240.76	$358.73
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $311.94 / $363.95 / $374.33	Professional		$311.94	$363.95	$374.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $311.94 / $480.07 / $933.44	Professional		$311.94	$480.07	$933.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $609.26 / $1,620.96	Facility		$214.16	$609.26	$1,620.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $214.16 / $2,058.80	Professional		$156.34	$214.16	$2,058.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $311.94 / $311.94 / $311.94	Professional		$311.94	$311.94	$311.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $311.94 / $311.94 / $311.94	Professional		$311.94	$311.94	$311.94
United Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $154.24 / $181.56	Facility		$0.25	$154.24	$181.56
United Facility/Professional Professional Modifier Low / Median / High Price $124.28 / $183.11 / $311.94	Professional		$124.28	$183.11	$311.94