Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.18 / $142.18 / $142.18	Facility		$142.18	$142.18	$142.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $142.18 / $236.07	Professional		$92.61	$142.18	$236.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.83 / $310.02 / $512.95	Facility		$281.83	$310.02	$512.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.76 / $262.11 / $346.66	Professional		$243.76	$262.11	$346.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.76 / $603.14 / $603.14	Facility		$202.76	$603.14	$603.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $582.54 / $1,177.03	Facility		$182.31	$582.54	$1,177.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $408.28 / $533.40	Professional		$133.09	$408.28	$533.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $71.59 / $213.27 / $324.12	Facility		$71.59	$213.27	$324.12
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $281.83 / $338.21	Professional		$161.38	$281.83	$338.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.94 / $281.83 / $1,170.00	Facility		$123.94	$281.83	$1,170.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $167.10 / $306.89	Professional		$112.40	$167.10	$306.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $90.69	Professional		$50.00	$65.00	$90.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $71.59 / $213.27 / $324.12	Facility		$71.59	$213.27	$324.12
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $281.83 / $338.21	Professional		$161.38	$281.83	$338.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.83 / $423.92 / $665.45	Professional		$281.83	$423.92	$665.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $550.46 / $1,170.00	Facility		$182.31	$550.46	$1,170.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $182.31 / $1,712.88	Professional		$133.09	$182.31	$1,712.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $281.83 / $281.83 / $281.83	Professional		$281.83	$281.83	$281.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $179.91 / $281.83 / $281.83	Professional		$179.91	$281.83	$281.83
United Facility/Professional Professional Modifier Low / Median / High Price $96.54 / $167.06 / $249.88	Professional		$96.54	$167.06	$249.88