Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.63 / $121.63 / $121.63	Facility		$121.63	$121.63	$121.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $121.63 / $201.95	Professional		$85.04	$121.63	$201.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.11 / $265.22 / $438.82	Facility		$241.11	$265.22	$438.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.23 / $224.23 / $296.56	Professional		$224.23	$224.23	$296.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.45 / $515.98 / $515.98	Facility		$173.45	$515.98	$515.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $498.14 / $1,006.29	Facility		$170.15	$498.14	$1,006.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $349.22 / $456.33	Professional		$124.21	$349.22	$456.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $65.75 / $182.45 / $277.27	Facility		$65.75	$182.45	$277.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $138.06 / $241.11 / $289.33	Professional		$138.06	$241.11	$289.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.82 / $241.11 / $1,135.98	Facility		$113.82	$241.11	$1,135.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.61 / $153.41 / $262.54	Professional		$108.61	$153.41	$262.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $151.29	Professional		$50.00	$70.00	$151.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $65.75 / $182.45 / $277.27	Facility		$65.75	$182.45	$277.27
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $138.06 / $241.11 / $289.33	Professional		$138.06	$241.11	$289.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $241.11 / $371.05 / $611.25	Professional		$241.11	$371.05	$611.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $470.92 / $1,135.98	Facility		$170.15	$470.92	$1,135.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $170.15 / $1,306.51	Professional		$124.21	$170.15	$1,306.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $241.11 / $241.11 / $241.11	Professional		$241.11	$241.11	$241.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $165.21 / $241.11 / $241.11	Professional		$165.21	$241.11	$241.11
United Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $135.79 / $213.77	Professional		$84.87	$135.79	$213.77