Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.09 / $207.09 / $207.09	Facility		$207.09	$207.09	$207.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $207.09 / $343.84	Professional		$128.26	$207.09	$343.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $410.50 / $451.55 / $747.11	Facility		$410.50	$451.55	$747.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.77 / $381.77 / $504.91	Professional		$381.77	$381.77	$504.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.32 / $878.47 / $878.47	Facility		$295.32	$878.47	$878.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.56 / $848.98 / $1,713.07	Facility		$265.56	$848.98	$1,713.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.86 / $594.84 / $776.90	Professional		$193.86	$594.84	$776.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $99.16 / $310.64 / $472.08	Facility		$99.16	$310.64	$472.08
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $235.05 / $369.69 / $492.60	Professional		$235.05	$369.69	$492.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $410.50 / $1,670.71	Facility		$171.65	$410.50	$1,670.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.54 / $231.43 / $447.00	Professional		$163.54	$231.43	$447.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $171.87	Professional		$50.00	$70.00	$171.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $99.16 / $310.64 / $472.08	Facility		$99.16	$310.64	$472.08
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $235.05 / $369.69 / $492.60	Professional		$235.05	$369.69	$492.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $410.50 / $615.75 / $921.40	Professional		$410.50	$615.75	$921.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $265.56 / $801.76 / $1,670.71	Facility		$265.56	$801.76	$1,670.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $193.86 / $265.56 / $1,806.48	Professional		$193.86	$265.56	$1,806.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $410.50 / $410.50 / $410.50	Professional		$410.50	$410.50	$410.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $410.50 / $410.50 / $410.50	Professional		$410.50	$410.50	$410.50
United Facility/Professional Professional Modifier Low / Median / High Price $136.53 / $215.04 / $384.00	Professional		$136.53	$215.04	$384.00