Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.65 / $641.65 / $641.65	Facility		$641.65	$641.65	$641.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.06 / $569.22 / $747.09	Professional		$398.06	$569.22	$747.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $914.10 / $1,663.66 / $1,663.66	Facility		$914.10	$1,663.66	$1,663.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $850.09 / $850.11 / $1,234.00	Professional		$850.09	$850.11	$1,234.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.44 / $644.41 / $2,432.09	Facility		$64.44	$644.41	$2,432.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.42 / $581.42 / $2,392.46	Facility		$581.42	$581.42	$2,392.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.42 / $1,038.38 / $1,297.97	Professional		$581.42	$1,038.38	$1,297.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $311.13 / $909.19 / $1,306.96	Facility		$311.13	$909.19	$1,306.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $650.72 / $650.72 / $1,363.79	Professional		$650.72	$650.72	$1,363.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $311.13 / $1,363.79 / $4,173.16	Facility		$311.13	$1,363.79	$4,173.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $408.46 / $541.70 / $1,146.77	Professional		$408.46	$541.70	$1,146.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $733.09	Professional		$50.00	$65.00	$733.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $311.13 / $909.19 / $1,306.96	Facility		$311.13	$909.19	$1,306.96
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $650.72 / $650.72 / $1,363.79	Professional		$650.72	$650.72	$1,363.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.66 / $195.62 / $254.00	Professional		$120.66	$195.62	$254.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $581.42 / $1,774.92 / $4,173.16	Facility		$581.42	$1,774.92	$4,173.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $581.42 / $581.42 / $763.12	Professional		$581.42	$581.42	$763.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,046.67 / $1,046.67 / $1,046.67	Professional		$1,046.67	$1,046.67	$1,046.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,046.67 / $1,046.67 / $1,046.67	Professional		$1,046.67	$1,046.67	$1,046.67
United Facility/Professional Professional Modifier Low / Median / High Price $334.19 / $528.91 / $1,091.54	Professional		$334.19	$528.91	$1,091.54