Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.21 / $98.21 / $98.21	Facility		$98.21	$98.21	$98.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $98.21 / $164.52	Professional		$81.53	$98.21	$164.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.68 / $214.15 / $354.32	Facility		$194.68	$214.15	$354.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.05 / $181.05 / $239.45	Professional		$181.05	$181.05	$239.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.06 / $416.62 / $416.62	Facility		$140.06	$416.62	$416.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $429.78 / $813.15	Facility		$67.73	$429.78	$813.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $286.70 / $368.45	Professional		$57.58	$286.70	$368.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $147.32 / $223.88	Facility		$56.03	$147.32	$223.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $111.46 / $190.02 / $233.62	Professional		$111.46	$190.02	$233.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.98 / $194.68 / $836.27	Facility		$96.98	$194.68	$836.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $130.08 / $211.98	Professional		$88.91	$130.08	$211.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $125.46	Professional		$50.00	$70.00	$125.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $147.32 / $223.88	Facility		$56.03	$147.32	$223.88
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $111.46 / $190.02 / $233.62	Professional		$111.46	$190.02	$233.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.68 / $299.63 / $520.91	Professional		$194.68	$299.63	$520.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $380.24 / $836.27	Facility		$67.73	$380.24	$836.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $67.73 / $981.91	Professional		$57.58	$67.73	$981.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.68 / $194.68 / $194.68	Professional		$194.68	$194.68	$194.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.68 / $194.68 / $194.68	Professional		$194.68	$194.68	$194.68
United Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $115.70 / $172.61	Professional		$72.31	$115.70	$172.61