Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.99 / $186.99 / $186.99	Facility		$186.99	$186.99	$186.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.87 / $186.99 / $346.82	Professional		$171.87	$186.99	$346.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.68 / $407.75 / $674.64	Facility		$370.68	$407.75	$674.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.58 / $344.73 / $455.93	Professional		$320.58	$344.73	$455.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $266.67 / $793.26 / $793.26	Facility		$266.67	$793.26	$793.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $766.40 / $1,547.92	Facility		$239.78	$766.40	$1,547.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $537.19 / $701.54	Professional		$175.04	$537.19	$701.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $280.49 / $426.28	Facility		$119.39	$280.49	$426.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $212.24 / $370.68 / $494.23	Professional		$212.24	$370.68	$494.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.99 / $369.09 / $1,982.96	Facility		$186.99	$369.09	$1,982.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $172.34 / $247.67 / $418.48	Professional		$172.34	$247.67	$418.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $216.24	Professional		$50.00	$70.00	$216.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $280.49 / $426.28	Facility		$119.39	$280.49	$426.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $212.24 / $370.68 / $494.23	Professional		$212.24	$370.68	$494.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $370.68 / $570.42 / $1,110.08	Professional		$370.68	$570.42	$1,110.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $723.98 / $1,982.96	Facility		$239.78	$723.98	$1,982.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $239.78 / $2,447.21	Professional		$175.04	$239.78	$2,447.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $370.68 / $370.68 / $370.68	Professional		$370.68	$370.68	$370.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $370.68 / $370.68 / $370.68	Professional		$370.68	$370.68	$370.68
United Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $247.02 / $247.02	Facility		$247.02	$247.02	$247.02
United Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $246.56 / $370.68	Professional		$147.66	$246.56	$370.68