Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.39 / $394.39 / $394.39	Facility		$394.39	$394.39	$394.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.05 / $342.12 / $466.49	Professional		$249.05	$342.12	$466.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $605.60 / $1,102.19 / $1,102.19	Facility		$605.60	$1,102.19	$1,102.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.49 / $563.21 / $799.10	Professional		$550.49	$563.21	$799.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.57 / $319.37 / $1,266.73	Facility		$43.57	$319.37	$1,266.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $292.50 / $1,533.71	Facility		$292.50	$292.50	$1,533.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.50 / $661.50 / $826.88	Professional		$292.50	$661.50	$826.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.05 / $394.39 / $709.90	Facility		$162.05	$394.39	$709.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $338.92 / $338.92 / $710.32	Professional		$338.92	$338.92	$710.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.05 / $710.32 / $2,606.76	Facility		$162.05	$710.32	$2,606.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.30 / $295.31 / $659.29	Professional		$227.30	$295.31	$659.29
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 $162.05 / $394.39 / $709.90	Facility		$162.05	$394.39	$709.90
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $338.92 / $338.92 / $710.32	Professional		$338.92	$338.92	$710.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $121.48 / $157.72	Professional		$79.94	$121.48	$157.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $1,156.11 / $2,606.76	Facility		$292.50	$1,156.11	$2,606.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $292.50 / $292.50 / $418.36	Professional		$292.50	$292.50	$418.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $591.92 / $591.92 / $591.92	Professional		$591.92	$591.92	$591.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $591.92 / $591.92 / $591.92	Professional		$591.92	$591.92	$591.92
United Facility/Professional Professional Modifier Low / Median / High Price $209.18 / $295.31 / $659.29	Professional		$209.18	$295.31	$659.29