Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.41 / $219.41 / $219.41	Facility		$219.41	$219.41	$219.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.18 / $219.41 / $365.62	Professional		$181.18	$219.41	$365.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.94 / $478.43 / $791.59	Facility		$434.94	$478.43	$791.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.44 / $404.49 / $534.97	Professional		$391.44	$404.49	$534.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $312.89 / $930.77 / $930.77	Facility		$312.89	$930.77	$930.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.77 / $899.62 / $1,815.23	Facility		$271.77	$899.62	$1,815.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $630.47 / $823.15	Professional		$198.39	$630.47	$823.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $140.08 / $329.12 / $500.18	Facility		$140.08	$329.12	$500.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $249.03 / $434.94 / $579.91	Professional		$249.03	$434.94	$579.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $219.41 / $434.94 / $2,350.53	Facility		$219.41	$434.94	$2,350.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.22 / $290.61 / $491.04	Professional		$202.22	$290.61	$491.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $293.52	Professional		$50.00	$70.00	$293.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $140.08 / $335.70 / $500.18	Facility		$140.08	$335.70	$500.18
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $249.03 / $434.94 / $579.91	Professional		$249.03	$434.94	$579.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $434.94 / $669.35 / $1,301.80	Professional		$434.94	$669.35	$1,301.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $271.77 / $849.48 / $2,350.53	Facility		$271.77	$849.48	$2,350.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $271.77 / $2,803.83	Professional		$198.39	$271.77	$2,803.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $434.94 / $434.94 / $434.94	Professional		$434.94	$434.94	$434.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $434.94 / $434.94 / $434.94	Professional		$434.94	$434.94	$434.94
United Facility/Professional Professional Modifier Low / Median / High Price $173.27 / $260.95 / $473.59	Professional		$173.27	$260.95	$473.59