Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.48 / $321.48 / $321.48	Facility		$321.48	$321.48	$321.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.04 / $289.33 / $379.22	Professional		$202.04	$289.33	$379.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.70 / $871.23 / $871.23	Facility		$478.70	$871.23	$871.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.17 / $445.19 / $646.21	Professional		$445.17	$445.19	$646.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.54 / $274.04 / $1,024.38	Facility		$36.54	$274.04	$1,024.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $1,278.69	Facility		$333.25	$333.25	$1,278.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $555.00 / $693.75	Professional		$333.25	$555.00	$693.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $348.56 / $482.22 / $584.10	Facility		$348.56	$482.22	$584.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $609.49 / $609.49 / $609.49	Professional		$609.49	$609.49	$609.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $348.56 / $584.10 / $2,250.42	Facility		$348.56	$584.10	$2,250.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $211.80 / $288.82 / $609.49	Professional		$211.80	$288.82	$609.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $304.80	Professional		$50.00	$65.00	$304.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $348.56 / $482.22 / $584.10	Facility		$348.56	$482.22	$584.10
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $609.49 / $609.49 / $609.49	Professional		$609.49	$609.49	$609.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.19 / $116.74 / $151.58	Professional		$63.19	$116.74	$151.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $929.48 / $2,250.42	Facility		$333.25	$929.48	$2,250.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $333.25 / $376.21	Professional		$333.25	$333.25	$376.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $493.30 / $493.30 / $493.30	Professional		$493.30	$493.30	$493.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $493.30 / $493.30 / $493.30	Professional		$493.30	$493.30	$493.30
United Facility/Professional Professional Modifier Low / Median / High Price $199.06 / $278.68 / $576.84	Professional		$199.06	$278.68	$576.84