Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.30 / $187.30 / $187.30	Facility		$187.30	$187.30	$187.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $187.30 / $310.98	Professional		$116.00	$187.30	$310.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.28 / $408.41 / $675.73	Facility		$371.28	$408.41	$675.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.15 / $345.29 / $456.67	Professional		$334.15	$345.29	$456.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $267.10 / $794.54 / $794.54	Facility		$267.10	$794.54	$794.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $767.35 / $1,549.32	Facility		$177.64	$767.35	$1,549.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $538.13 / $702.68	Professional		$129.68	$538.13	$702.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.69 / $280.95 / $426.97	Facility		$89.69	$280.95	$426.97
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $212.59 / $371.28 / $445.54	Professional		$212.59	$371.28	$445.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.26 / $370.65 / $1,523.57	Facility		$155.26	$370.65	$1,523.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $209.31 / $404.28	Professional		$147.91	$209.31	$404.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $142.36	Professional		$50.00	$70.00	$142.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.69 / $280.95 / $426.97	Facility		$89.69	$280.95	$426.97
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $212.59 / $371.28 / $445.54	Professional		$212.59	$371.28	$445.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.28 / $556.91 / $833.07	Professional		$371.28	$556.91	$833.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $725.16 / $1,523.57	Facility		$177.64	$725.16	$1,523.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $177.64 / $1,837.84	Professional		$129.68	$177.64	$1,837.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $371.28 / $371.28 / $371.28	Professional		$371.28	$371.28	$371.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $225.38 / $371.28 / $371.28	Professional		$225.38	$371.28	$371.28
United Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $185.23 / $329.18	Professional		$123.48	$185.23	$329.18