Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.64 / $801.64 / $801.64	Facility		$801.64	$801.64	$801.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.46 / $696.07 / $884.32	Professional		$493.46	$696.07	$884.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.09 / $2,167.80 / $2,167.80	Facility		$1,191.09	$2,167.80	$2,167.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,107.72 / $1,107.75 / $1,607.98	Professional		$1,107.72	$1,107.75	$1,607.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.65 / $687.37 / $2,549.02	Facility		$91.65	$687.37	$2,549.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.97 / $394.97 / $3,435.52	Facility		$394.97	$394.97	$3,435.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.72 / $1,311.75 / $1,639.69	Professional		$335.72	$1,311.75	$1,639.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $810.41 / $1,056.13 / $1,465.07	Facility		$810.41	$1,056.13	$1,465.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,528.76 / $1,528.76 / $1,528.76	Professional		$1,528.76	$1,528.76	$1,528.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $810.41 / $1,465.07 / $5,453.18	Facility		$810.41	$1,465.07	$5,453.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $510.42 / $647.00 / $1,439.43	Professional		$510.42	$647.00	$1,439.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $305.80	Professional		$50.00	$65.00	$305.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $801.64 / $1,202.46 / $1,465.07	Facility		$801.64	$1,202.46	$1,465.07
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1,528.76 / $1,528.76 / $1,528.76	Professional		$1,528.76	$1,528.76	$1,528.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $157.22 / $260.30 / $337.99	Professional		$157.22	$260.30	$337.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $394.97 / $2,312.86 / $5,453.18	Facility		$394.97	$2,312.86	$5,453.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $394.97 / $394.97 / $394.97	Professional		$394.97	$394.97	$394.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,270.27 / $1,270.27 / $1,270.27	Professional		$1,270.27	$1,270.27	$1,270.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,270.27 / $1,270.27 / $1,270.27	Professional		$1,270.27	$1,270.27	$1,270.27
United Facility/Professional Professional Modifier Low / Median / High Price $432.22 / $621.51 / $1,370.10	Professional		$432.22	$621.51	$1,370.10