Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.04 / $205.04 / $205.04	Facility		$205.04	$205.04	$205.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.87 / $205.04 / $340.44	Professional		$166.87	$205.04	$340.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.45 / $447.10 / $739.74	Facility		$406.45	$447.10	$739.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.80 / $378.00 / $499.93	Professional		$365.80	$378.00	$499.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $292.39 / $869.80 / $869.80	Facility		$292.39	$869.80	$869.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $840.52 / $1,696.27	Facility		$244.07	$840.52	$1,696.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $589.22 / $769.23	Professional		$178.17	$589.22	$769.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $108.28 / $307.56 / $467.42	Facility		$108.28	$307.56	$467.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $232.73 / $336.20 / $487.74	Professional		$232.73	$336.20	$487.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $187.44 / $406.45 / $1,746.86	Facility		$187.44	$406.45	$1,746.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $172.15 / $252.66 / $442.57	Professional		$172.15	$252.66	$442.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $137.09	Professional		$50.00	$70.00	$137.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $108.28 / $307.56 / $467.42	Facility		$108.28	$307.56	$467.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $232.73 / $336.20 / $487.74	Professional		$232.73	$336.20	$487.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $406.45 / $625.52 / $1,006.71	Professional		$406.45	$625.52	$1,006.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $793.84 / $1,746.86	Facility		$244.07	$793.84	$1,746.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $244.07 / $2,151.65	Professional		$178.17	$244.07	$2,151.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $406.45 / $406.45 / $406.45	Professional		$406.45	$406.45	$406.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $406.45 / $406.45 / $406.45	Professional		$406.45	$406.45	$406.45
United Facility/Professional Facility Modifier Low / Median / High Price $537.91 / $537.91 / $537.91	Facility		$537.91	$537.91	$537.91
United Facility/Professional Professional Modifier Low / Median / High Price $151.60 / $221.64 / $360.36	Professional		$151.60	$221.64	$360.36