Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.29 / $219.29 / $219.29	Facility		$219.29	$219.29	$219.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.09 / $219.29 / $365.41	Professional		$181.09	$219.29	$365.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.70 / $478.17 / $791.15	Facility		$434.70	$478.17	$791.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.23 / $404.27 / $534.67	Professional		$391.23	$404.27	$534.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $312.72 / $930.26 / $930.26	Facility		$312.72	$930.26	$930.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.20 / $898.69 / $1,813.83	Facility		$281.20	$898.69	$1,813.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $630.00 / $822.70	Professional		$205.28	$630.00	$822.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $328.94 / $499.91	Facility		$140.00	$328.94	$499.91
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $248.90 / $434.70 / $521.64	Professional		$248.90	$434.70	$521.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $219.29 / $434.70 / $2,291.37	Facility		$219.29	$434.70	$2,291.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.12 / $290.45 / $473.33	Professional		$202.12	$290.45	$473.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $226.93	Professional		$50.00	$70.00	$226.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $335.51 / $499.91	Facility		$140.00	$335.51	$499.91
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $248.90 / $434.70 / $521.64	Professional		$248.90	$434.70	$521.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $434.70 / $669.00 / $1,300.80	Professional		$434.70	$669.00	$1,300.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $281.20 / $849.02 / $2,291.37	Facility		$281.20	$849.02	$2,291.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $281.20 / $2,886.41	Professional		$205.28	$281.20	$2,886.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $434.70 / $434.70 / $434.70	Professional		$434.70	$434.70	$434.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $347.10 / $434.70 / $434.70	Professional		$347.10	$434.70	$434.70
United Facility/Professional Professional Modifier Low / Median / High Price $180.72 / $260.82 / $420.85	Professional		$180.72	$260.82	$420.85