Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.43 / $320.43 / $320.43	Facility		$320.43	$320.43	$320.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.38 / $288.39 / $377.99	Professional		$201.38	$288.39	$377.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.10 / $866.50 / $866.50	Facility		$476.10	$866.50	$866.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.72 / $442.77 / $642.65	Professional		$442.72	$442.77	$642.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.64 / $274.89 / $1,018.73	Facility		$36.64	$274.89	$1,018.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.53 / $331.53 / $1,271.48	Facility		$331.53	$331.53	$1,271.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.53 / $552.00 / $690.00	Professional		$331.53	$552.00	$690.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $346.63 / $480.65 / $585.90	Facility		$346.63	$480.65	$585.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $611.38 / $611.38 / $611.38	Professional		$611.38	$611.38	$611.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.63 / $585.90 / $2,238.82	Facility		$346.63	$585.90	$2,238.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.44 / $289.70 / $609.37	Professional		$212.44	$289.70	$609.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $398.80	Professional		$50.00	$65.00	$398.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $346.63 / $480.65 / $585.90	Facility		$346.63	$480.65	$585.90
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $611.38 / $611.38 / $611.38	Professional		$611.38	$611.38	$611.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $62.85 / $115.95 / $150.56	Professional		$62.85	$115.95	$150.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $331.53 / $924.34 / $2,238.82	Facility		$331.53	$924.34	$2,238.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.53 / $331.53 / $374.14	Professional		$331.53	$331.53	$374.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $492.75 / $492.75 / $492.75	Professional		$492.75	$492.75	$492.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $492.75 / $492.75 / $492.75	Professional		$492.75	$492.75	$492.75
United Facility/Professional Professional Modifier Low / Median / High Price $184.87 / $281.75 / $492.75	Professional		$184.87	$281.75	$492.75