Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.48 / $90.48 / $90.48	Facility		$90.48	$90.48	$90.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.88 / $90.48 / $151.09	Professional		$74.88	$90.48	$151.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.36 / $197.30 / $326.44	Facility		$179.36	$197.30	$326.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.12 / $166.80 / $220.61	Professional		$155.12	$166.80	$220.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.04 / $383.83 / $383.83	Facility		$129.04	$383.83	$383.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $370.55 / $748.77	Facility		$113.25	$370.55	$748.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $259.69 / $339.46	Professional		$82.67	$259.69	$339.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.48 / $135.72 / $206.26	Facility		$51.48	$135.72	$206.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $179.36 / $215.23	Professional		$102.70	$179.36	$215.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.12 / $179.36 / $862.15	Facility		$89.12	$179.36	$862.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $119.85 / $199.37	Professional		$80.81	$119.85	$199.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $97.26	Professional		$50.00	$65.00	$97.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $51.48 / $135.72 / $206.26	Facility		$51.48	$135.72	$206.26
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $179.36 / $215.23	Professional		$102.70	$179.36	$215.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $179.36 / $276.05 / $478.76	Professional		$179.36	$276.05	$478.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $350.32 / $862.15	Facility		$113.25	$350.32	$862.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $113.25 / $1,130.40	Professional		$82.67	$113.25	$1,130.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $179.36 / $179.36 / $179.36	Professional		$179.36	$179.36	$179.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $179.36 / $179.36 / $179.36	Professional		$179.36	$179.36	$179.36
United Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $114.41 / $195.30	Professional		$71.45	$114.41	$195.30