Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.04 / $417.04 / $417.04	Facility		$417.04	$417.04	$417.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.35 / $375.34 / $493.28	Professional		$263.35	$375.34	$493.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.90 / $1,139.14 / $1,139.14	Facility		$625.90	$1,139.14	$1,139.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.09 / $582.11 / $844.96	Professional		$582.09	$582.11	$844.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.02 / $337.73 / $1,339.49	Facility		$45.02	$337.73	$1,339.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.90 / $353.90 / $1,911.81	Facility		$353.90	$353.90	$1,911.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.82 / $725.63 / $907.03	Professional		$300.82	$725.63	$907.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $171.35 / $417.04 / $750.67	Facility		$171.35	$417.04	$750.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $358.38 / $358.38 / $751.12	Professional		$358.38	$358.38	$751.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.35 / $751.12 / $2,940.40	Facility		$171.35	$751.12	$2,940.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.41 / $312.27 / $697.15	Professional		$245.41	$312.27	$697.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $388.04	Professional		$50.00	$65.00	$388.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $171.35 / $456.99 / $750.67	Facility		$171.35	$456.99	$750.67
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $358.38 / $358.38 / $751.12	Professional		$358.38	$358.38	$751.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $82.62 / $125.42 / $162.85	Professional		$82.62	$125.42	$162.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $353.90 / $1,222.52 / $2,940.40	Facility		$353.90	$1,222.52	$2,940.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $353.90 / $353.90 / $442.38	Professional		$353.90	$353.90	$442.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $625.92 / $625.92 / $625.92	Professional		$625.92	$625.92	$625.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $625.92 / $625.92 / $625.92	Professional		$625.92	$625.92	$625.92
United Facility/Professional Professional Modifier Low / Median / High Price $221.19 / $375.56 / $697.15	Professional		$221.19	$375.56	$697.15