Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.44 / $751.44 / $751.44	Facility		$751.44	$751.44	$751.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.66 / $675.05 / $907.65	Professional		$483.66	$675.05	$907.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $994.50 / $1,809.99 / $1,809.99	Facility		$994.50	$1,809.99	$1,809.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $924.86 / $924.89 / $1,342.53	Professional		$924.86	$924.89	$1,342.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.11 / $525.82 / $2,128.17	Facility		$70.11	$525.82	$2,128.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $670.25 / $2,649.29	Facility		$670.25	$670.25	$2,649.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.25 / $1,149.75 / $1,437.19	Professional		$670.25	$1,149.75	$1,437.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $879.08 / $994.47 / $1,193.35	Facility		$879.08	$994.47	$1,193.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,034.22 / $1,034.22 / $1,193.35	Professional		$1,034.22	$1,034.22	$1,193.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $879.08 / $1,352.59 / $4,806.31	Facility		$879.08	$1,352.59	$4,806.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $529.72 / $742.05 / $1,378.67	Professional		$529.72	$742.05	$1,378.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $55.00 / $755.98	Professional		$1.84	$55.00	$755.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $879.08 / $994.47 / $1,193.35	Facility		$879.08	$994.47	$1,193.35
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1,034.22 / $1,034.22 / $1,193.35	Professional		$1,034.22	$1,034.22	$1,193.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.27 / $227.96 / $295.99	Professional		$131.27	$227.96	$295.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $1,931.00 / $4,806.31	Facility		$670.25	$1,931.00	$4,806.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $670.25 / $670.25 / $897.30	Professional		$670.25	$670.25	$897.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,328.82 / $1,328.82 / $1,328.82	Professional		$1,328.82	$1,328.82	$1,328.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,328.82 / $1,328.82 / $1,328.82	Professional		$1,328.82	$1,328.82	$1,328.82
United Facility/Professional Professional Modifier Low / Median / High Price $447.51 / $741.06 / $1,371.63	Professional		$447.51	$741.06	$1,371.63