Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.82 / $249.82 / $249.82	Facility		$249.82	$249.82	$249.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.48 / $265.79 / $344.09	Professional		$236.48	$265.79	$344.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $495.23 / $544.75 / $901.32	Facility		$495.23	$544.75	$901.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.32 / $460.56 / $609.13	Professional		$428.32	$460.56	$609.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.27 / $1,059.79 / $1,059.79	Facility		$356.27	$1,059.79	$1,059.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $1,093.00 / $2,067.16	Facility		$312.81	$1,093.00	$2,067.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $729.14 / $937.25	Professional		$228.35	$729.14	$937.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $142.53 / $374.73 / $569.51	Facility		$142.53	$374.73	$569.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $283.55 / $483.41 / $594.28	Professional		$283.55	$483.41	$594.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.72 / $495.23 / $2,306.87	Facility		$246.72	$495.23	$2,306.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.27 / $259.42 / $539.24	Professional		$216.27	$259.42	$539.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $113.88	Professional		$50.00	$65.00	$113.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $142.53 / $374.73 / $569.51	Facility		$142.53	$374.73	$569.51
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $283.55 / $483.41 / $594.28	Professional		$283.55	$483.41	$594.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $495.23 / $762.12 / $1,324.88	Professional		$495.23	$762.12	$1,324.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $967.24 / $2,306.87	Facility		$312.81	$967.24	$2,306.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $312.81 / $2,498.42	Professional		$228.35	$312.81	$2,498.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $495.23 / $495.23 / $495.23	Professional		$495.23	$495.23	$495.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $395.42 / $495.23 / $495.23	Professional		$395.42	$495.23	$495.23
United Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $262.62 / $643.79	Professional		$172.87	$262.62	$643.79