Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.53 / $381.53 / $381.53	Facility		$381.53	$381.53	$381.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.67 / $347.12 / $444.20	Professional		$236.67	$347.12	$444.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.10 / $997.54 / $997.54	Facility		$548.10	$997.54	$997.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.71 / $509.73 / $739.89	Professional		$509.71	$509.73	$739.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $386.38 / $1,417.17	Facility		$38.64	$386.38	$1,417.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.55 / $353.55 / $1,486.85	Facility		$353.55	$353.55	$1,486.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.55 / $645.00 / $806.25	Professional		$353.55	$645.00	$806.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.30 / $529.78 / $761.56	Facility		$181.30	$529.78	$761.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $379.18 / $379.18 / $794.68	Professional		$379.18	$379.18	$794.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.30 / $794.68 / $2,537.59	Facility		$181.30	$794.68	$2,537.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $238.01 / $315.64 / $670.40	Professional		$238.01	$315.64	$670.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $310.45	Professional		$50.00	$65.00	$310.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $181.30 / $529.78 / $761.56	Facility		$181.30	$529.78	$761.56
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $379.18 / $379.18 / $794.68	Professional		$379.18	$379.18	$794.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $114.38 / $148.51	Professional		$72.34	$114.38	$148.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $353.55 / $1,064.22 / $2,537.59	Facility		$353.55	$1,064.22	$2,537.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $353.55 / $353.55 / $464.03	Professional		$353.55	$353.55	$464.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $623.38 / $623.38 / $623.38	Professional		$623.38	$623.38	$623.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $623.38 / $623.38 / $623.38	Professional		$623.38	$623.38	$623.38
United Facility/Professional Professional Modifier Low / Median / High Price $190.36 / $307.91 / $638.12	Professional		$190.36	$307.91	$638.12