Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.33 / $274.33 / $274.33	Facility		$274.33	$274.33	$274.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.58 / $294.45 / $441.01	Professional		$251.58	$294.45	$441.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $543.84 / $598.22 / $989.79	Facility		$543.84	$598.22	$989.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.45 / $505.77 / $668.92	Professional		$489.45	$505.77	$668.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $391.24 / $1,163.82 / $1,163.82	Facility		$391.24	$1,163.82	$1,163.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.03 / $1,124.75 / $2,270.09	Facility		$331.03	$1,124.75	$2,270.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $787.97 / $1,029.25	Professional		$241.65	$787.97	$1,029.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $170.63 / $411.51 / $625.41	Facility		$170.63	$411.51	$625.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $311.39 / $543.84 / $706.35	Professional		$311.39	$543.84	$706.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $274.33 / $543.84 / $2,763.54	Facility		$274.33	$543.84	$2,763.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.37 / $308.33 / $614.01	Professional		$244.37	$308.33	$614.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $453.85	Professional		$50.00	$65.00	$453.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $170.63 / $411.51 / $625.41	Facility		$170.63	$411.51	$625.41
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $311.39 / $543.84 / $706.35	Professional		$311.39	$543.84	$706.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $543.84 / $836.96 / $1,585.85	Professional		$543.84	$836.96	$1,585.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $331.03 / $1,062.18 / $2,763.54	Facility		$331.03	$1,062.18	$2,763.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $331.03 / $3,991.82	Professional		$241.65	$331.03	$3,991.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $543.84 / $543.84 / $543.84	Professional		$543.84	$543.84	$543.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $434.26 / $543.84 / $543.84	Professional		$434.26	$543.84	$543.84
United Facility/Professional Professional Modifier Low / Median / High Price $206.94 / $271.31 / $520.02	Professional		$206.94	$271.31	$520.02