Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.04 / $572.54 / $851.19	Facility		$458.04	$572.54	$851.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.91 / $324.45 / $458.04	Professional		$293.91	$324.45	$458.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $820.66 / $992.42 / $1,049.68	Facility		$820.66	$992.42	$1,049.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.68 / $152.68 / $1,526.80	Professional		$152.68	$152.68	$1,526.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $381.70 / $566.91 / $969.52	Facility		$381.70	$566.91	$969.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $400.79 / $493.53	Professional		$381.70	$400.79	$493.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,050.71 / $1,227.83 / $1,883.53	Facility		$1,050.71	$1,227.83	$1,883.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.61 / $1,027.83 / $1,168.00	Professional		$438.61	$1,027.83	$1,168.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $293.91 / $458.04 / $1,335.95	Facility		$293.91	$458.04	$1,335.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $343.53 / $458.04 / $1,335.95	Facility		$343.53	$458.04	$1,335.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $229.02 / $1,177.10	Professional		$90.80	$229.02	$1,177.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $190.85	Professional		$50.00	$70.00	$190.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $293.91 / $458.04 / $1,335.95	Facility		$293.91	$458.04	$1,335.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $289.54 / $910.13 / $1,276.52	Professional		$289.54	$910.13	$1,276.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $763.40 / $1,813.08 / $1,813.08	Facility		$763.40	$1,813.08	$1,813.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $553.47 / $1,908.50 / $1,908.50	Professional		$553.47	$1,908.50	$1,908.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $114.41 / $812.85	Professional		$114.41	$114.41	$812.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $114.41 / $2,084.08	Professional		$114.41	$114.41	$2,084.08
United Facility/Professional Professional Modifier Low / Median / High Price $91.03 / $229.02 / $687.06	Professional		$91.03	$229.02	$687.06