Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.13 / $375.13 / $375.13	Facility		$375.13	$375.13	$375.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.27 / $375.13 / $524.71	Professional		$276.27	$375.13	$524.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $743.62 / $817.98 / $1,353.39	Facility		$743.62	$817.98	$1,353.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.16 / $691.57 / $914.65	Professional		$643.16	$691.57	$914.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $534.95 / $1,591.35 / $1,591.35	Facility		$534.95	$1,591.35	$1,591.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.92 / $1,537.53 / $3,104.23	Facility		$378.92	$1,537.53	$3,104.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.61 / $1,077.66 / $1,407.35	Professional		$276.61	$1,077.66	$1,407.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $187.38 / $562.70 / $855.16	Facility		$187.38	$562.70	$855.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $425.77 / $743.62 / $892.34	Professional		$425.77	$743.62	$892.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $324.35 / $743.62 / $3,116.55	Facility		$324.35	$743.62	$3,116.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $290.24 / $370.98 / $809.71	Professional		$290.24	$370.98	$809.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $236.20	Professional		$50.00	$70.00	$236.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $187.38 / $562.70 / $855.16	Facility		$187.38	$562.70	$855.16
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $425.77 / $743.62 / $892.34	Professional		$425.77	$743.62	$892.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $743.62 / $1,115.43 / $1,741.42	Professional		$743.62	$1,115.43	$1,741.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $378.92 / $1,452.38 / $3,116.55	Facility		$378.92	$1,452.38	$3,116.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $276.61 / $378.92 / $4,135.50	Professional		$276.61	$378.92	$4,135.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $743.62 / $743.62 / $743.62	Professional		$743.62	$743.62	$743.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $593.75 / $743.62 / $743.62	Professional		$593.75	$743.62	$743.62
United Facility/Professional Professional Modifier Low / Median / High Price $247.32 / $370.98 / $659.31	Professional		$247.32	$370.98	$659.31