Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.27 / $522.84 / $777.29	Facility		$418.27	$522.84	$777.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.39 / $327.64 / $418.27	Professional		$268.39	$327.64	$418.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $749.40 / $906.26 / $958.54	Facility		$749.40	$906.26	$958.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.99 / $348.56 / $1,492.95	Professional		$142.99	$348.56	$1,492.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $348.56 / $517.70 / $885.34	Facility		$348.56	$517.70	$885.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $348.56 / $365.99 / $450.87	Professional		$348.56	$365.99	$450.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $959.69 / $1,121.48 / $1,720.37	Facility		$959.69	$1,121.48	$1,720.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.61 / $938.60 / $1,066.58	Professional		$400.61	$938.60	$1,066.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $268.39 / $418.27 / $1,219.96	Facility		$268.39	$418.27	$1,219.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $313.70 / $418.27 / $1,219.96	Facility		$313.70	$418.27	$1,219.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.59 / $237.02 / $1,102.41	Professional		$187.59	$237.02	$1,102.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $316.02	Professional		$50.00	$70.00	$316.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $268.39 / $418.27 / $1,219.96	Facility		$268.39	$418.27	$1,219.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $700.70 / $850.33 / $1,178.08	Professional		$700.70	$850.33	$1,178.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $704.89 / $1,655.66 / $1,655.66	Facility		$704.89	$1,655.66	$1,655.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $505.41 / $1,742.80 / $1,742.80	Professional		$505.41	$1,742.80	$1,742.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $297.89 / $297.89 / $742.27	Professional		$297.89	$297.89	$742.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $297.89 / $297.89 / $1,903.14	Professional		$297.89	$297.89	$1,903.14
United Facility/Professional Professional Modifier Low / Median / High Price $165.92 / $237.02 / $699.96	Professional		$165.92	$237.02	$699.96