Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.10 / $141.10 / $141.10	Facility		$141.10	$141.10	$141.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.52 / $141.10 / $235.11	Professional		$116.52	$141.10	$235.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.69 / $307.66 / $509.04	Facility		$279.69	$307.66	$509.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.09 / $260.11 / $344.01	Professional		$234.09	$260.11	$344.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.21 / $598.54 / $598.54	Facility		$201.21	$598.54	$598.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $577.86 / $1,167.24	Facility		$174.77	$577.86	$1,167.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $405.47 / $529.35	Professional		$127.58	$405.47	$529.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $90.08 / $211.65 / $321.64	Facility		$90.08	$211.65	$321.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $279.69 / $372.93	Professional		$160.13	$279.69	$372.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.10 / $279.69 / $1,528.02	Facility		$141.10	$279.69	$1,528.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.04 / $186.88 / $315.77	Professional		$130.04	$186.88	$315.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $128.08	Professional		$50.00	$70.00	$128.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $90.08 / $215.88 / $321.64	Facility		$90.08	$215.88	$321.64
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $279.69 / $372.93	Professional		$160.13	$279.69	$372.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $279.69 / $430.46 / $837.09	Professional		$279.69	$430.46	$837.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $546.28 / $1,528.02	Facility		$174.77	$546.28	$1,528.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $174.77 / $2,135.48	Professional		$127.58	$174.77	$2,135.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $279.69 / $279.69 / $279.69	Professional		$279.69	$279.69	$279.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $223.33 / $279.69 / $279.69	Professional		$223.33	$279.69	$279.69
United Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $178.28 / $279.69	Professional		$116.28	$178.28	$279.69