Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $119.39 / $119.39	Facility		$119.39	$119.39	$119.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $119.39 / $198.24	Professional		$80.20	$119.39	$198.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.68 / $260.35 / $430.76	Facility		$236.68	$260.35	$430.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.01 / $220.11 / $291.11	Professional		$213.01	$220.11	$291.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.26 / $506.50 / $506.50	Facility		$170.26	$506.50	$506.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $489.69 / $988.09	Facility		$126.98	$489.69	$988.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $394.17 / $447.93	Professional		$92.70	$394.17	$447.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $179.09 / $272.18	Facility		$62.01	$179.09	$272.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $135.52 / $236.68 / $284.02	Professional		$135.52	$236.68	$284.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.35 / $236.68 / $1,050.89	Facility		$107.35	$236.68	$1,050.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.61 / $144.69 / $257.70	Professional		$106.61	$144.69	$257.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $159.72	Professional		$50.00	$70.00	$159.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $179.09 / $272.18	Facility		$62.01	$179.09	$272.18
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $135.52 / $236.68 / $284.02	Professional		$135.52	$236.68	$284.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $236.68 / $364.24 / $576.12	Professional		$236.68	$364.24	$576.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $462.26 / $1,050.89	Facility		$126.98	$462.26	$1,050.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $126.98 / $1,232.30	Professional		$92.70	$126.98	$1,232.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $236.68 / $236.68 / $236.68	Professional		$236.68	$236.68	$236.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $236.68 / $236.68 / $236.68	Professional		$236.68	$236.68	$236.68
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $80.05 / $142.01 / $209.84	Professional		$80.05	$142.01	$209.84