Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $189.51 / $189.51	Facility		$189.51	$189.51	$189.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.08 / $189.51 / $314.66	Professional		$150.08	$189.51	$314.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.67 / $413.24 / $683.72	Facility		$375.67	$413.24	$683.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.37 / $349.37 / $462.07	Professional		$349.37	$349.37	$462.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.26 / $803.93 / $803.93	Facility		$270.26	$803.93	$803.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $1,009.25 / $1,567.51	Facility		$302.83	$1,009.25	$1,567.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $552.92 / $711.00	Professional		$257.41	$552.92	$711.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $284.27 / $432.02	Facility		$109.76	$284.27	$432.02
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $215.10 / $375.67 / $450.80	Professional		$215.10	$375.67	$450.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $375.67 / $1,623.77	Facility		$189.51	$375.67	$1,623.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $172.30 / $251.02 / $415.75	Professional		$172.30	$251.02	$415.75
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 $109.76 / $284.27 / $432.02	Facility		$109.76	$284.27	$432.02
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $215.10 / $375.67 / $450.80	Professional		$215.10	$375.67	$450.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $375.67 / $578.15 / $1,019.76	Professional		$375.67	$578.15	$1,019.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $733.74 / $1,623.77	Facility		$302.83	$733.74	$1,623.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $302.83 / $1,995.60	Professional		$257.41	$302.83	$1,995.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $375.67 / $375.67 / $375.67	Professional		$375.67	$375.67	$375.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $375.67 / $375.67	Professional		$299.97	$375.67	$375.67
United Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $255.84 / $261.98	Facility		$0.27	$255.84	$261.98
United Facility/Professional Professional Modifier Low / Median / High Price $133.12 / $226.68 / $322.20	Professional		$133.12	$226.68	$322.20