Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.19 / $124.19 / $124.19	Facility		$124.19	$124.19	$124.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.24 / $124.19 / $238.60	Professional		$118.24	$124.19	$238.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.18 / $270.80 / $448.05	Facility		$246.18	$270.80	$448.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.92 / $228.95 / $302.80	Professional		$212.92	$228.95	$302.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.11 / $526.83 / $526.83	Facility		$177.11	$526.83	$526.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $509.39 / $1,027.28	Facility		$169.96	$509.39	$1,027.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $410.00 / $465.91	Professional		$124.07	$410.00	$465.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.08 / $186.29 / $283.11	Facility		$72.08	$186.29	$283.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $140.96 / $246.18 / $298.38	Professional		$140.96	$246.18	$298.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.19 / $246.18 / $1,197.00	Facility		$124.19	$246.18	$1,197.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.65 / $164.50 / $277.94	Professional		$111.65	$164.50	$277.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $151.03	Professional		$50.00	$70.00	$151.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $72.08 / $186.29 / $283.11	Facility		$72.08	$186.29	$283.11
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $140.96 / $246.18 / $298.38	Professional		$140.96	$246.18	$298.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $246.18 / $378.86 / $669.47	Professional		$246.18	$378.86	$669.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $480.82 / $1,197.00	Facility		$169.96	$480.82	$1,197.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $169.96 / $1,711.98	Professional		$124.07	$169.96	$1,711.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $246.18 / $246.18 / $246.18	Professional		$246.18	$246.18	$246.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $246.18 / $246.18 / $246.18	Professional		$246.18	$246.18	$246.18
United Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $147.71 / $218.27	Professional		$93.04	$147.71	$218.27