Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.22 / $206.95 / $895.28	Facility		$108.22	$206.95	$895.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $206.95 / $343.62	Professional		$151.22	$206.95	$343.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $410.25 / $451.28 / $746.66	Facility		$410.25	$451.28	$746.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.22 / $381.53 / $504.60	Professional		$369.22	$381.53	$504.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.14 / $877.94 / $877.94	Facility		$295.14	$877.94	$877.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $1,102.97 / $1,713.07	Facility		$274.27	$1,102.97	$1,713.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $603.89 / $776.43	Professional		$233.13	$603.89	$776.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $99.40 / $310.43 / $471.79	Facility		$99.40	$310.43	$471.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $234.90 / $354.45 / $492.30	Professional		$234.90	$354.45	$492.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.06 / $410.25 / $1,565.88	Facility		$172.06	$410.25	$1,565.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.44 / $231.98 / $446.71	Professional		$163.44	$231.98	$446.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $99.40 / $310.43 / $471.79	Facility		$99.40	$310.43	$471.79
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $234.90 / $354.45 / $492.30	Professional		$234.90	$354.45	$492.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $410.25 / $615.38 / $923.40	Professional		$410.25	$615.38	$923.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $801.26 / $1,565.88	Facility		$274.27	$801.26	$1,565.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $274.27 / $1,930.99	Professional		$233.13	$274.27	$1,930.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $410.25 / $410.25 / $410.25	Professional		$410.25	$410.25	$410.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $410.25 / $410.25 / $410.25	Professional		$410.25	$410.25	$410.25
United Facility/Professional Professional Modifier Low / Median / High Price $150.31 / $204.67 / $363.73	Professional		$150.31	$204.67	$363.73