Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.74 / $156.74 / $156.74	Facility		$156.74	$156.74	$156.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.40 / $156.74 / $260.24	Professional		$127.40	$156.74	$260.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.70 / $341.77 / $565.47	Facility		$310.70	$341.77	$565.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.95 / $288.95 / $382.16	Professional		$288.95	$288.95	$382.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.52 / $664.90 / $664.90	Facility		$223.52	$664.90	$664.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $642.59 / $1,297.40	Facility		$197.02	$642.59	$1,297.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $450.47 / $588.03	Professional		$143.82	$450.47	$588.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $98.50 / $235.11 / $357.31	Facility		$98.50	$235.11	$357.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $177.90 / $305.82 / $372.84	Professional		$177.90	$305.82	$372.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.74 / $310.70 / $1,592.80	Facility		$156.74	$310.70	$1,592.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.46 / $207.59 / $340.54	Professional		$144.46	$207.59	$340.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $209.67	Professional		$50.00	$70.00	$209.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $98.50 / $239.81 / $357.31	Facility		$98.50	$239.81	$357.31
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $177.90 / $305.82 / $372.84	Professional		$177.90	$305.82	$372.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $310.70 / $478.15 / $915.37	Professional		$310.70	$478.15	$915.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $606.84 / $1,592.80	Facility		$197.02	$606.84	$1,592.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $197.02 / $2,030.64	Professional		$143.82	$197.02	$2,030.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $310.70 / $310.70 / $310.70	Professional		$310.70	$310.70	$310.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $310.70 / $310.70 / $310.70	Professional		$310.70	$310.70	$310.70
United Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $136.63 / $136.63	Facility		$136.63	$136.63	$136.63
United Facility/Professional Professional Modifier Low / Median / High Price $123.78 / $201.62 / $310.70	Professional		$123.78	$201.62	$310.70