Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.48 / $405.48 / $405.48	Facility		$405.48	$405.48	$405.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.12 / $405.48 / $577.58	Professional		$304.12	$405.48	$577.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $803.78 / $884.16 / $1,462.88	Facility		$803.78	$884.16	$1,462.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $723.40 / $747.52 / $988.64	Professional		$723.40	$747.52	$988.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $578.24 / $1,720.09 / $1,720.09	Facility		$578.24	$1,720.09	$1,720.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.16 / $1,661.34 / $3,354.75	Facility		$400.16	$1,661.34	$3,354.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $1,164.83 / $1,521.21	Professional		$292.12	$1,164.83	$1,521.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $206.26 / $608.22 / $924.35	Facility		$206.26	$608.22	$924.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $460.23 / $668.69 / $964.54	Professional		$460.23	$668.69	$964.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $357.05 / $803.78 / $3,392.11	Facility		$357.05	$803.78	$3,392.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.64 / $401.00 / $875.22	Professional		$316.64	$401.00	$875.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $364.73	Professional		$50.00	$70.00	$364.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $206.26 / $608.22 / $924.35	Facility		$206.26	$608.22	$924.35
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $460.23 / $668.69 / $964.54	Professional		$460.23	$668.69	$964.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $803.78 / $1,221.97 / $1,917.07	Professional		$803.78	$1,221.97	$1,917.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $400.16 / $1,569.88 / $3,392.11	Facility		$400.16	$1,569.88	$3,392.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $400.16 / $4,239.22	Professional		$292.12	$400.16	$4,239.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $803.78 / $803.78 / $803.78	Professional		$803.78	$803.78	$803.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $803.78 / $803.78 / $803.78	Professional		$803.78	$803.78	$803.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,024.66 / $1,024.66 / $1,024.66	Facility		$1,024.66	$1,024.66	$1,024.66
United Facility/Professional Professional Modifier Low / Median / High Price $267.33 / $401.00 / $768.58	Professional		$267.33	$401.00	$768.58