Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.41 / $494.27 / $734.81	Facility		$395.41	$494.27	$734.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.72 / $313.02 / $500.86	Professional		$253.72	$313.02	$500.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $708.45 / $856.73 / $906.15	Facility		$708.45	$856.73	$906.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $329.51 / $1,411.36	Professional		$131.80	$329.51	$1,411.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $489.40 / $836.96	Facility		$329.51	$489.40	$836.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $345.99 / $426.18	Professional		$329.51	$345.99	$426.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.53 / $1,059.34 / $1,625.07	Facility		$906.53	$1,059.34	$1,625.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.72 / $887.30 / $1,008.30	Professional		$378.72	$887.30	$1,008.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $253.72 / $395.41 / $1,153.29	Facility		$253.72	$395.41	$1,153.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $296.56 / $395.41 / $1,153.29	Facility		$296.56	$395.41	$1,153.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.76 / $199.09 / $1,016.16	Professional		$164.76	$199.09	$1,016.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $195.07	Professional		$50.00	$70.00	$195.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $253.72 / $395.41 / $1,153.29	Facility		$253.72	$395.41	$1,153.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $629.74 / $803.79 / $1,102.34	Professional		$629.74	$803.79	$1,102.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $827.74 / $1,565.17 / $1,565.17	Facility		$827.74	$1,565.17	$1,565.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $305.60 / $1,647.55 / $1,647.55	Professional		$305.60	$1,647.55	$1,647.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $248.87 / $248.87 / $701.71	Professional		$248.87	$248.87	$701.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $248.87 / $957.63 / $1,799.12	Professional		$248.87	$957.63	$1,799.12
United Facility/Professional Professional Modifier Low / Median / High Price $148.28 / $197.71 / $613.35	Professional		$148.28	$197.71	$613.35