Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.58 / $1,371.82 / $1,575.45	Facility		$706.58	$1,371.82	$1,575.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $692.86 / $795.76	Professional		$686.00	$692.86	$795.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $857.50 / $1,269.09 / $1,529.78	Facility		$857.50	$1,269.09	$1,529.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $950.44	Professional		$686.00	$686.00	$950.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,097.59 / $1,234.80 / $1,257.38	Facility		$1,097.59	$1,234.80	$1,257.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $1,284.52 / $2,228.33	Facility		$686.00	$1,284.52	$2,228.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.54 / $770.19 / $1,080.65	Professional		$673.54	$770.19	$1,080.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $685.91 / $686.00 / $758.58	Facility		$685.91	$686.00	$758.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,028.86 / $1,372.00 / $1,372.00	Professional		$1,028.86	$1,372.00	$1,372.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $685.91 / $685.91 / $758.48	Facility		$685.91	$685.91	$758.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $685.91 / $763.56 / $2,835.75	Professional		$685.91	$763.56	$2,835.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,566.07	Professional		$50.00	$70.00	$1,566.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $685.91 / $686.00 / $763.52	Facility		$685.91	$686.00	$763.52
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1,028.86 / $1,372.00 / $1,372.00	Professional		$1,028.86	$1,372.00	$1,372.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $994.83 / $2,146.07	Professional		$686.00	$994.83	$2,146.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $664.68 / $686.00 / $3,209.15	Facility		$664.68	$686.00	$3,209.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $1,181.56 / $2,835.75	Professional		$686.00	$1,181.56	$2,835.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $963.14 / $963.14 / $963.14	Professional		$963.14	$963.14	$963.14
United Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $686.00 / $686.00	Facility		$686.00	$686.00	$686.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $706.65 / $816.34	Professional		$686.00	$706.65	$816.34