Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.73 / $389.73 / $389.73	Facility		$389.73	$389.73	$389.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.60 / $341.00 / $453.44	Professional		$241.60	$341.00	$453.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $554.60 / $1,009.37 / $1,009.37	Facility		$554.60	$1,009.37	$1,009.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.75 / $515.78 / $748.66	Professional		$515.75	$515.78	$748.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.79 / $373.46 / $1,186.78	Facility		$49.79	$373.46	$1,186.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.55 / $354.55 / $1,422.87	Facility		$354.55	$354.55	$1,422.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.55 / $617.63 / $772.03	Professional		$354.55	$617.63	$772.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $553.72 / $795.97	Facility		$338.00	$553.72	$795.97
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $459.81 / $459.81 / $830.58	Professional		$459.81	$459.81	$830.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $830.58 / $2,544.80	Facility		$338.00	$830.58	$2,544.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.75 / $382.72 / $715.36	Professional		$275.75	$382.72	$715.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $675.93	Professional		$50.00	$58.40	$675.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $553.72 / $795.97	Facility		$338.00	$553.72	$795.97
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $459.81 / $459.81 / $830.58	Professional		$459.81	$459.81	$830.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $121.48 / $157.72	Professional		$73.20	$121.48	$157.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $354.55 / $1,076.82 / $2,544.80	Facility		$354.55	$1,076.82	$2,544.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.55 / $354.55 / $465.35	Professional		$354.55	$354.55	$465.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $637.87 / $637.87 / $637.87	Professional		$637.87	$637.87	$637.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $637.87 / $637.87 / $637.87	Professional		$637.87	$637.87	$637.87
United Facility/Professional Professional Modifier Low / Median / High Price $236.14 / $373.39 / $680.91	Professional		$236.14	$373.39	$680.91