Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.17 / $124.17 / $124.17	Facility		$124.17	$124.17	$124.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $124.17 / $206.17	Professional		$96.42	$124.17	$206.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.14 / $270.75 / $447.97	Facility		$246.14	$270.75	$447.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.52 / $228.91 / $302.75	Professional		$221.52	$228.91	$302.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.07 / $526.74 / $526.74	Facility		$177.07	$526.74	$526.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $508.44 / $1,027.28	Facility		$159.22	$508.44	$1,027.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $356.72 / $465.84	Professional		$116.23	$356.72	$465.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.11 / $186.26 / $283.06	Facility		$72.11	$186.26	$283.06
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $140.93 / $246.14 / $295.37	Professional		$140.93	$246.14	$295.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.17 / $246.14 / $1,155.73	Facility		$124.17	$246.14	$1,155.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.70 / $164.46 / $268.75	Professional		$112.70	$164.46	$268.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $148.25	Professional		$50.00	$70.00	$148.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $72.11 / $186.26 / $283.06	Facility		$72.11	$186.26	$283.06
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $140.93 / $246.14 / $295.37	Professional		$140.93	$246.14	$295.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $246.14 / $378.79 / $670.47	Professional		$246.14	$378.79	$670.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $480.74 / $1,155.73	Facility		$159.22	$480.74	$1,155.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $159.22 / $1,477.62	Professional		$116.23	$159.22	$1,477.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $246.14 / $246.14 / $246.14	Professional		$246.14	$246.14	$246.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $246.14 / $246.14 / $246.14	Professional		$246.14	$246.14	$246.14
United Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $147.68 / $218.23	Professional		$98.06	$147.68	$218.23