Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.19 / $605.84 / $695.78	Facility		$338.19	$605.84	$695.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $338.19 / $459.67	Professional		$328.34	$338.19	$459.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $410.43 / $607.42 / $732.20	Facility		$410.43	$607.42	$732.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $443.25	Professional		$328.34	$328.34	$443.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $525.34 / $591.01 / $601.82	Facility		$525.34	$591.01	$601.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $429.05 / $784.90	Facility		$328.34	$429.05	$784.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.08 / $367.83 / $1,313.39	Professional		$303.08	$367.83	$1,313.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.92 / $338.19 / $1,337.38	Facility		$302.92	$338.19	$1,337.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $346.31 / $656.68 / $656.68	Professional		$346.31	$656.68	$656.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.92 / $312.01 / $1,337.38	Facility		$302.92	$312.01	$1,337.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.92 / $337.21 / $6,027.78	Professional		$302.92	$337.21	$6,027.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $302.92 / $338.19 / $1,337.38	Facility		$302.92	$338.19	$1,337.38
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $346.31 / $656.68 / $656.68	Professional		$346.31	$656.68	$656.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $447.63 / $1,140.14	Professional		$328.34	$447.63	$1,140.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $328.34 / $5,222.64	Facility		$328.34	$328.34	$5,222.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $1,044.53 / $6,027.78	Professional		$328.34	$1,044.53	$6,027.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $460.99 / $460.99 / $2,301.87	Professional		$460.99	$460.99	$2,301.87
United Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $348.04 / $459.68	Professional		$328.34	$348.04	$459.68