Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.03 / $389.03 / $389.03	Facility		$389.03	$389.03	$389.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.02 / $389.03 / $541.35	Professional		$289.02	$389.03	$541.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $593.40 / $1,079.99 / $1,079.99	Facility		$593.40	$1,079.99	$1,079.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.02 / $551.86 / $801.09	Professional		$543.02	$551.86	$801.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.68 / $315.05 / $1,249.52	Facility		$42.68	$315.05	$1,249.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $234.00 / $1,791.43	Facility		$234.00	$234.00	$1,791.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $772.88 / $966.09	Professional		$198.90	$772.88	$966.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $188.06 / $389.03 / $700.25	Facility		$188.06	$389.03	$700.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $334.34 / $334.34 / $700.67	Professional		$334.34	$334.34	$700.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $188.06 / $700.67 / $3,019.16	Facility		$188.06	$700.67	$3,019.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.02 / $339.84 / $703.45	Professional		$263.02	$339.84	$703.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $65.00	Professional		$50.00	$58.40	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $188.06 / $389.03 / $700.25	Facility		$188.06	$389.03	$700.25
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $334.34 / $334.34 / $700.67	Professional		$334.34	$334.34	$700.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $139.62 / $181.28	Professional		$78.33	$139.62	$181.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $1,140.42 / $3,019.16	Facility		$234.00	$1,140.42	$3,019.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $234.00 / $489.07	Professional		$198.90	$234.00	$489.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $583.89 / $583.89 / $583.89	Professional		$583.89	$583.89	$583.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $583.89 / $583.89 / $583.89	Professional		$583.89	$583.89	$583.89
United Facility/Professional Professional Modifier Low / Median / High Price $228.08 / $336.67 / $677.03	Professional		$228.08	$336.67	$677.03