Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.86 / $346.92 / $693.84	Facility		$212.86	$346.92	$693.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.88 / $212.86 / $353.43	Professional		$164.88	$212.86	$353.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $421.95 / $464.15 / $767.95	Facility		$421.95	$464.15	$767.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.94 / $392.41 / $518.99	Professional		$364.94	$392.41	$518.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $303.55 / $902.97 / $902.97	Facility		$303.55	$902.97	$902.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $872.42 / $1,760.65	Facility		$296.00	$872.42	$1,760.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $611.25 / $798.58	Professional		$216.08	$611.25	$798.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $121.95 / $319.29 / $485.24	Facility		$121.95	$319.29	$485.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $241.60 / $421.95 / $506.34	Professional		$241.60	$421.95	$506.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.11 / $421.95 / $1,976.32	Facility		$211.11	$421.95	$1,976.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.07 / $281.94 / $459.45	Professional		$190.07	$281.94	$459.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $215.83	Professional		$50.00	$70.00	$215.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $121.95 / $325.68 / $485.24	Facility		$121.95	$325.68	$485.24
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $241.60 / $421.95 / $506.34	Professional		$241.60	$421.95	$506.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $421.95 / $649.37 / $1,133.18	Professional		$421.95	$649.37	$1,133.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $824.12 / $1,976.32	Facility		$296.00	$824.12	$1,976.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $296.00 / $2,200.21	Professional		$216.08	$296.00	$2,200.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $421.95 / $421.95 / $421.95	Professional		$421.95	$421.95	$421.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $336.92 / $421.95 / $421.95	Professional		$336.92	$421.95	$421.95
United Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $253.17 / $361.89	Professional		$157.43	$253.17	$361.89