Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.86 / $212.86 / $212.86	Facility		$212.86	$212.86	$212.86
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 $362.01 / $392.41 / $518.99	Professional		$362.01	$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 $277.45 / $931.70 / $1,760.65	Facility		$277.45	$931.70	$1,760.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $611.25 / $798.58	Professional		$202.54	$611.25	$798.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $212.86 / $342.39 / $485.24	Facility		$212.86	$342.39	$485.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $421.95 / $458.38 / $506.34	Professional		$421.95	$458.38	$506.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $277.33 / $421.95 / $1,976.32	Facility		$277.33	$421.95	$1,976.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.19 / $284.62 / $472.28	Professional		$196.19	$284.62	$472.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $242.75	Professional		$50.00	$70.00	$242.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $212.86 / $342.39 / $485.24	Facility		$212.86	$342.39	$485.24
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $421.95 / $458.38 / $506.34	Professional		$421.95	$458.38	$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 $277.45 / $824.12 / $1,976.32	Facility		$277.45	$824.12	$1,976.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $277.45 / $2,200.21	Professional		$202.54	$277.45	$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 $421.95 / $421.95 / $421.95	Professional		$421.95	$421.95	$421.95
United Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $280.68 / $421.95	Professional		$157.43	$280.68	$421.95