Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.90 / $153.90 / $153.90	Facility		$153.90	$153.90	$153.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.78 / $153.90 / $257.83	Professional		$127.78	$153.90	$257.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.07 / $335.58 / $555.23	Facility		$305.07	$335.58	$555.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.85 / $283.72 / $375.23	Professional		$263.85	$283.72	$375.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $219.46 / $652.85 / $652.85	Facility		$219.46	$652.85	$652.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $673.23 / $1,273.59	Facility		$170.29	$673.23	$1,273.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $449.10 / $577.38	Professional		$144.75	$449.10	$577.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $230.85 / $350.83	Facility		$87.77	$230.85	$350.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $174.68 / $297.74 / $366.08	Professional		$174.68	$297.74	$366.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.94 / $305.07 / $1,420.57	Facility		$151.94	$305.07	$1,420.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.78 / $203.84 / $332.18	Professional		$137.78	$203.84	$332.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $194.46	Professional		$50.00	$70.00	$194.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $230.85 / $350.83	Facility		$87.77	$230.85	$350.83
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $174.68 / $297.74 / $366.08	Professional		$174.68	$297.74	$366.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $305.07 / $469.50 / $816.01	Professional		$305.07	$469.50	$816.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $595.84 / $1,420.57	Facility		$170.29	$595.84	$1,420.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $170.29 / $1,535.78	Professional		$144.75	$170.29	$1,535.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $305.07 / $305.07 / $305.07	Professional		$305.07	$305.07	$305.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $305.07 / $305.07 / $305.07	Professional		$305.07	$305.07	$305.07
United Facility/Professional Professional Modifier Low / Median / High Price $113.30 / $183.04 / $270.48	Professional		$113.30	$183.04	$270.48