Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.08 / $228.08 / $228.08	Facility		$228.08	$228.08	$228.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.31 / $228.08 / $378.70	Professional		$153.31	$228.08	$378.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $452.13 / $497.34 / $822.88	Facility		$452.13	$497.34	$822.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.48 / $420.48 / $556.11	Professional		$420.48	$420.48	$556.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $325.26 / $967.56 / $967.56	Facility		$325.26	$967.56	$967.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.48 / $934.33 / $1,886.61	Facility		$292.48	$934.33	$1,886.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $655.30 / $855.69	Professional		$213.51	$655.30	$855.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.21 / $342.12 / $519.95	Facility		$117.21	$342.12	$519.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $258.89 / $452.13 / $542.55	Professional		$258.89	$452.13	$542.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.90 / $452.13 / $1,897.69	Facility		$202.90	$452.13	$1,897.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.67 / $273.49 / $492.31	Professional		$203.67	$273.49	$492.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $169.76	Professional		$50.00	$70.00	$169.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $117.21 / $342.12 / $519.95	Facility		$117.21	$342.12	$519.95
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $258.89 / $452.13 / $542.55	Professional		$258.89	$452.13	$542.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $452.13 / $694.71 / $1,089.01	Professional		$452.13	$694.71	$1,089.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $292.48 / $883.06 / $1,897.69	Facility		$292.48	$883.06	$1,897.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $292.48 / $2,201.52	Professional		$213.51	$292.48	$2,201.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $452.13 / $452.13 / $452.13	Professional		$452.13	$452.13	$452.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $452.13 / $452.13 / $452.13	Professional		$452.13	$452.13	$452.13
United Facility/Professional Professional Modifier Low / Median / High Price $151.30 / $271.27 / $400.86	Professional		$151.30	$271.27	$400.86