Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.36 / $367.36 / $367.36	Facility		$367.36	$367.36	$367.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.67 / $333.13 / $414.19	Professional		$220.67	$333.13	$414.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $547.60 / $996.63 / $996.63	Facility		$547.60	$996.63	$996.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.26 / $509.27 / $739.24	Professional		$509.26	$509.27	$739.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.63 / $312.17 / $1,171.83	Facility		$41.63	$312.17	$1,171.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.16 / $347.16 / $1,679.36	Facility		$347.16	$347.16	$1,679.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.16 / $641.25 / $801.56	Professional		$347.16	$641.25	$801.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $462.90 / $665.41	Facility		$166.32	$462.90	$665.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $694.34 / $694.34 / $694.34	Professional		$694.34	$694.34	$694.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $665.41 / $2,490.09	Facility		$166.32	$665.41	$2,490.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $226.87 / $295.05 / $664.24	Professional		$226.87	$295.05	$664.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $439.16	Professional		$50.00	$65.00	$439.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $551.04 / $665.41	Facility		$166.32	$551.04	$665.41
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $694.34 / $694.34 / $694.34	Professional		$694.34	$694.34	$694.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $119.90 / $155.68	Professional		$72.28	$119.90	$155.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $1,063.28 / $2,490.09	Facility		$65.00	$1,063.28	$2,490.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $347.16 / $347.16 / $455.65	Professional		$347.16	$347.16	$455.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $578.62 / $578.62 / $578.62	Professional		$578.62	$578.62	$578.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $578.62 / $578.62 / $578.62	Professional		$578.62	$578.62	$578.62
United Facility/Professional Professional Modifier Low / Median / High Price $207.96 / $316.24 / $659.16	Professional		$207.96	$316.24	$659.16