Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Facility		$73.14	$73.14	$73.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $73.28 / $147.87	Professional		$71.76	$73.28	$147.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.99 / $159.49 / $263.88	Facility		$144.99	$159.49	$263.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.49 / $134.84 / $178.33	Professional		$130.49	$134.84	$178.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.31 / $310.27 / $310.27	Facility		$104.31	$310.27	$310.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $300.18 / $604.61	Facility		$126.00	$300.18	$604.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $213.36 / $274.39	Professional		$109.52	$213.36	$274.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $109.71 / $166.74	Facility		$46.70	$109.71	$166.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $83.02 / $144.99 / $173.99	Professional		$83.02	$144.99	$173.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.14 / $144.99 / $720.02	Facility		$73.14	$144.99	$720.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.42 / $96.88 / $163.68	Professional		$67.42	$96.88	$163.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.37 / $108.96	Professional		$50.00	$65.37	$108.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $111.90 / $166.74	Facility		$46.70	$111.90	$166.74
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $83.02 / $144.99 / $173.99	Professional		$83.02	$144.99	$173.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.99 / $223.13 / $433.60	Professional		$144.99	$223.13	$433.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.85 / $283.18 / $720.02	Facility		$128.85	$283.18	$720.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $128.85 / $745.68	Professional		$109.52	$128.85	$745.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $144.99 / $144.99 / $144.99	Professional		$144.99	$144.99	$144.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $144.99 / $144.99	Professional		$115.77	$144.99	$144.99
United Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $86.04 / $124.35	Professional		$57.76	$86.04	$124.35