Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.53 / $180.53 / $180.53	Facility		$180.53	$180.53	$180.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.01 / $180.53 / $299.75	Professional		$139.01	$180.53	$299.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.88 / $393.67 / $651.34	Facility		$357.88	$393.67	$651.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.08 / $332.83 / $440.19	Professional		$322.08	$332.83	$440.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $765.86 / $765.86	Facility		$257.45	$765.86	$765.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $740.15 / $1,493.33	Facility		$209.59	$740.15	$1,493.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $518.44 / $677.31	Professional		$153.00	$518.44	$677.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.47 / $270.80 / $411.56	Facility		$107.47	$270.80	$411.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $204.91 / $351.05 / $429.46	Professional		$204.91	$351.05	$429.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.53 / $357.88 / $1,729.07	Facility		$180.53	$357.88	$1,729.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $239.13 / $389.68	Professional		$166.40	$239.13	$389.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $236.20	Professional		$50.00	$70.00	$236.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $107.47 / $270.80 / $411.56	Facility		$107.47	$270.80	$411.56
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $204.91 / $351.05 / $429.46	Professional		$204.91	$351.05	$429.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $357.88 / $550.75 / $998.68	Professional		$357.88	$550.75	$998.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $698.98 / $1,729.07	Facility		$209.59	$698.98	$1,729.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $209.59 / $2,202.30	Professional		$153.00	$209.59	$2,202.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $357.88 / $357.88 / $357.88	Professional		$357.88	$357.88	$357.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $285.76 / $357.88 / $357.88	Professional		$285.76	$357.88	$357.88
United Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $250.52 / $256.52	Facility		$0.27	$250.52	$256.52
United Facility/Professional Professional Modifier Low / Median / High Price $138.72 / $214.73 / $317.30	Professional		$138.72	$214.73	$317.30