Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.57 / $233.57 / $233.57	Facility		$233.57	$233.57	$233.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $233.57 / $387.81	Professional		$170.12	$233.57	$387.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $509.30 / $842.66	Facility		$463.00	$509.30	$842.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.70 / $430.59 / $569.49	Professional		$416.70	$430.59	$569.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $990.82 / $990.82	Facility		$333.08	$990.82	$990.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $956.84 / $1,932.80	Facility		$299.52	$956.84	$1,932.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $670.78 / $876.26	Professional		$218.65	$670.78	$876.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $131.52 / $350.36 / $532.45	Facility		$131.52	$350.36	$532.45
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $265.10 / $463.00 / $555.60	Professional		$265.10	$463.00	$555.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $227.67 / $463.00 / $2,143.81	Facility		$227.67	$463.00	$2,143.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.56 / $306.89 / $509.33	Professional		$208.56	$306.89	$509.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $312.45	Professional		$50.00	$70.00	$312.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $131.52 / $350.36 / $532.45	Facility		$131.52	$350.36	$532.45
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $265.10 / $463.00 / $555.60	Professional		$265.10	$463.00	$555.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $463.00 / $712.54 / $1,222.51	Professional		$463.00	$712.54	$1,222.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $904.30 / $2,143.81	Facility		$299.52	$904.30	$2,143.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $299.52 / $2,528.21	Professional		$218.65	$299.52	$2,528.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $463.00 / $463.00 / $463.00	Professional		$463.00	$463.00	$463.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $463.00 / $463.00 / $463.00	Professional		$463.00	$463.00	$463.00
United Facility/Professional Facility Modifier Low / Median / High Price $653.39 / $653.39 / $653.39	Facility		$653.39	$653.39	$653.39
United Facility/Professional Professional Modifier Low / Median / High Price $184.13 / $277.80 / $448.26	Professional		$184.13	$277.80	$448.26