Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.06 / $205.06 / $205.06	Facility		$205.06	$205.06	$205.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.09 / $205.06 / $340.47	Professional		$152.09	$205.06	$340.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.49 / $447.14 / $739.81	Facility		$406.49	$447.14	$739.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.57 / $378.04 / $499.98	Professional		$351.57	$378.04	$499.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $292.42 / $869.89 / $869.89	Facility		$292.42	$869.89	$869.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $840.52 / $1,696.27	Facility		$274.64	$840.52	$1,696.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $589.22 / $769.31	Professional		$200.49	$589.22	$769.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.59 / $307.58 / $467.46	Facility		$117.59	$307.58	$467.46
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $232.75 / $406.49 / $487.79	Professional		$232.75	$406.49	$487.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $203.55 / $406.49 / $1,955.07	Facility		$203.55	$406.49	$1,955.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.11 / $271.61 / $455.36	Professional		$183.11	$271.61	$455.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $274.33	Professional		$50.00	$70.00	$274.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $117.59 / $307.58 / $467.46	Facility		$117.59	$307.58	$467.46
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $232.75 / $406.49 / $487.79	Professional		$232.75	$406.49	$487.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $406.49 / $625.55 / $1,093.03	Professional		$406.49	$625.55	$1,093.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $793.92 / $1,955.07	Facility		$274.64	$793.92	$1,955.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $274.64 / $2,695.59	Professional		$200.49	$274.64	$2,695.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $406.49 / $406.49 / $406.49	Professional		$406.49	$406.49	$406.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $406.49 / $406.49 / $406.49	Professional		$406.49	$406.49	$406.49
United Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $242.86 / $360.40	Professional		$142.62	$242.86	$360.40