Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.32 / $709.32 / $709.32	Facility		$709.32	$709.32	$709.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.44 / $709.32 / $2,748.48	Professional		$671.44	$709.32	$2,748.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $770.60 / $770.60 / $1,271.49	Facility		$770.60	$770.60	$1,271.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $716.66 / $716.69 / $847.69	Professional		$716.66	$716.69	$847.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $164.91 / $1,649.15	Facility		$69.34	$164.91	$1,649.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,053.65 / $2,399.86 / $3,681.44	Facility		$2,053.65	$2,399.86	$3,681.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $917.73 / $1,113.75	Professional		$293.45	$917.73	$1,113.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $618.04 / $770.63 / $809.16	Facility		$618.04	$770.63	$809.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $658.42 / $658.42 / $658.42	Professional		$658.42	$658.42	$658.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $618.04 / $770.63 / $3,758.09	Facility		$618.04	$770.63	$3,758.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $479.86 / $1,505.57 / $3,862.55	Professional		$479.86	$1,505.57	$3,862.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $90.00	Professional		$65.00	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $618.04 / $770.63 / $809.16	Facility		$618.04	$770.63	$809.16
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $658.42 / $658.42 / $658.42	Professional		$658.42	$658.42	$658.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $80.66 / $168.14 / $239.80	Professional		$80.66	$168.14	$239.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $1,806.88 / $3,758.09	Facility		$65.00	$1,806.88	$3,758.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $293.45 / $293.45	Professional		$293.45	$293.45	$293.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.23 / $1,213.23 / $1,213.23	Professional		$1,213.23	$1,213.23	$1,213.23
Security Health Facility/Professional Facility Modifier Low / Median / High Price $1,641.90 / $1,641.90 / $1,641.90	Facility		$1,641.90	$1,641.90	$1,641.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.23 / $1,213.23 / $1,213.23	Professional		$1,213.23	$1,213.23	$1,213.23
United Facility/Professional Professional Modifier Low / Median / High Price $319.89 / $1,253.19 / $3,862.55	Professional		$319.89	$1,253.19	$3,862.55