Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.01 / $213.01 / $213.01	Facility		$213.01	$213.01	$213.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.77 / $213.01 / $366.79	Professional		$181.77	$213.01	$366.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.25 / $464.48 / $768.50	Facility		$422.25	$464.48	$768.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.69 / $392.69 / $519.36	Professional		$392.69	$392.69	$519.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $303.77 / $903.62 / $903.62	Facility		$303.77	$903.62	$903.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.14 / $932.72 / $1,762.05	Facility		$273.14	$932.72	$1,762.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.40 / $621.51 / $799.14	Professional		$199.40	$621.51	$799.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.67 / $319.52 / $485.59	Facility		$125.67	$319.52	$485.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $241.77 / $422.25 / $506.70	Professional		$241.77	$422.25	$506.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.01 / $422.25 / $2,034.82	Facility		$213.01	$422.25	$2,034.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.33 / $292.93 / $459.77	Professional		$196.33	$292.93	$459.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $235.40	Professional		$50.00	$70.00	$235.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $125.67 / $319.52 / $485.59	Facility		$125.67	$319.52	$485.59
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $241.77 / $422.25 / $506.70	Professional		$241.77	$422.25	$506.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $422.25 / $649.84 / $1,168.31	Professional		$422.25	$649.84	$1,168.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $273.14 / $824.70 / $2,034.82	Facility		$273.14	$824.70	$2,034.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.40 / $273.14 / $2,497.19	Professional		$199.40	$273.14	$2,497.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $422.25 / $422.25 / $422.25	Professional		$422.25	$422.25	$422.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $422.25 / $422.25 / $422.25	Professional		$422.25	$422.25	$422.25
United Facility/Professional Professional Modifier Low / Median / High Price $168.22 / $259.54 / $374.37	Professional		$168.22	$259.54	$374.37