Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.08 / $246.08 / $246.08	Facility		$246.08	$246.08	$246.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.08 / $246.37 / $467.89	Professional		$246.08	$246.37	$467.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $487.80 / $536.58 / $887.80	Facility		$487.80	$536.58	$887.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.02 / $453.65 / $599.99	Professional		$439.02	$453.65	$599.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $350.92 / $1,043.89 / $1,043.89	Facility		$350.92	$1,043.89	$1,043.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $1,076.97 / $2,036.37	Facility		$297.02	$1,076.97	$2,036.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $706.88 / $923.20	Professional		$216.82	$706.88	$923.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $146.71 / $369.12 / $560.97	Facility		$146.71	$369.12	$560.97
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $279.30 / $487.80 / $607.37	Professional		$279.30	$487.80	$607.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.08 / $487.80 / $2,464.07	Facility		$246.08	$487.80	$2,464.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $219.73 / $270.32 / $550.70	Professional		$219.73	$270.32	$550.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $329.19	Professional		$50.00	$70.00	$329.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $146.71 / $369.12 / $560.97	Facility		$146.71	$369.12	$560.97
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $279.30 / $487.80 / $607.37	Professional		$279.30	$487.80	$607.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $487.80 / $750.71 / $1,364.03	Professional		$487.80	$750.71	$1,364.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $952.74 / $2,464.07	Facility		$297.02	$952.74	$2,464.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $297.02 / $2,915.38	Professional		$216.82	$297.02	$2,915.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $487.80 / $487.80 / $487.80	Professional		$487.80	$487.80	$487.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $487.80 / $487.80 / $487.80	Professional		$487.80	$487.80	$487.80
United Facility/Professional Professional Modifier Low / Median / High Price $189.39 / $243.36 / $432.50	Professional		$189.39	$243.36	$432.50