Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.28 / $132.28 / $132.28	Facility		$132.28	$132.28	$132.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.55 / $132.28 / $219.64	Professional		$101.55	$132.28	$219.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.23 / $288.45 / $477.26	Facility		$262.23	$288.45	$477.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $243.87 / $322.54	Professional		$236.00	$243.87	$322.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.64 / $561.16 / $561.16	Facility		$188.64	$561.16	$561.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.91 / $542.22 / $1,094.46	Facility		$184.91	$542.22	$1,094.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $380.16 / $496.29	Professional		$134.97	$380.16	$496.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $78.51 / $198.42 / $301.56	Facility		$78.51	$198.42	$301.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $150.15 / $262.23 / $314.68	Professional		$150.15	$262.23	$314.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.28 / $262.23 / $1,287.83	Facility		$132.28	$262.23	$1,287.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $175.23 / $296.07	Professional		$121.61	$175.23	$296.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $176.98	Professional		$50.00	$70.00	$176.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $78.51 / $198.42 / $301.56	Facility		$78.51	$198.42	$301.56
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $150.15 / $262.23 / $314.68	Professional		$150.15	$262.23	$314.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $262.23 / $403.55 / $729.69	Professional		$262.23	$403.55	$729.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $184.91 / $512.16 / $1,287.83	Facility		$184.91	$512.16	$1,287.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $184.91 / $1,472.02	Professional		$134.97	$184.91	$1,472.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $262.23 / $262.23 / $262.23	Professional		$262.23	$262.23	$262.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $209.39 / $262.23 / $262.23	Professional		$209.39	$262.23	$262.23
United Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $162.13 / $262.23	Professional		$101.34	$162.13	$262.23