Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.75 / $560.75 / $560.75	Facility		$560.75	$560.75	$560.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.10 / $504.67 / $663.26	Professional		$354.10	$504.67	$663.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $841.60 / $1,531.71 / $1,531.71	Facility		$841.60	$1,531.71	$1,531.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $782.69 / $782.71 / $1,136.16	Professional		$782.69	$782.71	$1,136.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.54 / $605.25 / $1,800.45	Facility		$60.54	$605.25	$1,800.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.79 / $516.79 / $2,570.23	Facility		$516.79	$516.79	$2,570.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.79 / $975.75 / $1,219.69	Professional		$516.79	$975.75	$1,219.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $267.23 / $673.06 / $1,009.35	Facility		$267.23	$673.06	$1,009.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $558.90 / $558.90 / $1,009.94	Professional		$558.90	$558.90	$1,009.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $267.23 / $1,009.94 / $3,947.25	Facility		$267.23	$1,009.94	$3,947.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.82 / $489.86 / $1,049.70	Professional		$350.82	$489.86	$1,049.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $90.00 / $881.48	Professional		$50.00	$90.00	$881.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $267.23 / $673.06 / $1,009.35	Facility		$267.23	$673.06	$1,009.35
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $558.90 / $558.90 / $1,009.94	Professional		$558.90	$558.90	$1,009.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $111.09 / $197.99 / $257.07	Professional		$111.09	$197.99	$257.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $516.79 / $1,643.80 / $3,947.25	Facility		$516.79	$1,643.80	$3,947.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $516.79 / $516.79 / $675.66	Professional		$516.79	$516.79	$675.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $841.62 / $841.62 / $841.62	Professional		$841.62	$841.62	$841.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $841.62 / $841.62 / $841.62	Professional		$841.62	$841.62	$841.62
United Facility/Professional Professional Modifier Low / Median / High Price $328.76 / $465.26 / $1,066.38	Professional		$328.76	$465.26	$1,066.38