Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.80 / $418.66 / $418.66	Facility		$232.80	$418.66	$418.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.74 / $418.66 / $962.62	Professional		$390.74	$418.66	$962.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $829.91 / $912.90 / $1,510.44	Facility		$829.91	$912.90	$1,510.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.82 / $771.82 / $1,020.78	Professional		$771.82	$771.82	$1,020.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $597.04 / $1,776.01 / $1,776.01	Facility		$597.04	$1,776.01	$1,776.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $1,715.75 / $3,463.92	Facility		$460.00	$1,715.75	$3,463.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $1,202.81 / $1,570.68	Professional		$335.80	$1,202.81	$1,570.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $220.60 / $623.79 / $954.40	Facility		$220.60	$623.79	$954.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $475.19 / $817.88 / $995.89	Professional		$475.19	$817.88	$995.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $381.86 / $829.91 / $3,814.11	Facility		$381.86	$829.91	$3,814.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $330.63 / $414.04 / $903.67	Professional		$330.63	$414.04	$903.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $477.05	Professional		$50.00	$65.00	$477.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $220.60 / $627.99 / $954.40	Facility		$220.60	$627.99	$954.40
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $475.19 / $817.88 / $995.89	Professional		$475.19	$817.88	$995.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $829.91 / $1,244.86 / $2,050.56	Professional		$829.91	$1,244.86	$2,050.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $1,620.92 / $3,814.11	Facility		$460.00	$1,620.92	$3,814.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $460.00 / $4,383.55	Professional		$335.80	$460.00	$4,383.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $829.91 / $829.91 / $829.91	Professional		$829.91	$829.91	$829.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $662.67 / $829.91 / $829.91	Professional		$662.67	$829.91	$829.91
United Facility/Professional Professional Modifier Low / Median / High Price $276.02 / $414.04 / $735.81	Professional		$276.02	$414.04	$735.81