Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.44 / $500.44 / $500.44	Facility		$500.44	$500.44	$500.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.02 / $450.39 / $591.91	Professional		$316.02	$450.39	$591.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $751.00 / $1,366.82 / $1,366.82	Facility		$751.00	$1,366.82	$1,366.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.43 / $698.52 / $1,013.85	Professional		$698.43	$698.52	$1,013.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.03 / $405.26 / $1,607.35	Facility		$54.03	$405.26	$1,607.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461.38 / $461.38 / $2,293.76	Facility		$461.38	$461.38	$2,293.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.17 / $870.75 / $1,088.44	Professional		$392.17	$870.75	$1,088.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $205.62 / $500.44 / $900.79	Facility		$205.62	$500.44	$900.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $430.06 / $430.06 / $901.32	Professional		$430.06	$430.06	$901.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $205.62 / $901.32 / $3,528.39	Facility		$205.62	$901.32	$3,528.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $294.49 / $374.72 / $836.57	Professional		$294.49	$374.72	$836.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $445.64	Professional		$50.00	$65.00	$445.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $205.62 / $500.44 / $900.79	Facility		$205.62	$500.44	$900.79
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $430.06 / $430.06 / $901.32	Professional		$430.06	$430.06	$901.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $149.87 / $194.60	Professional		$99.13	$149.87	$194.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $461.38 / $1,467.00 / $3,528.39	Facility		$461.38	$1,467.00	$3,528.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $392.17 / $461.38 / $530.85	Professional		$392.17	$461.38	$530.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $751.10 / $751.10 / $751.10	Professional		$751.10	$751.10	$751.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $751.10 / $751.10 / $751.10	Professional		$751.10	$751.10	$751.10
United Facility/Professional Professional Modifier Low / Median / High Price $265.43 / $374.72 / $751.10	Professional		$265.43	$374.72	$751.10