Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.69 / $249.69 / $249.69	Facility		$249.69	$249.69	$249.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.04 / $249.69 / $355.22	Professional		$187.04	$249.69	$355.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.96 / $544.46 / $900.83	Facility		$494.96	$544.46	$900.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.08 / $460.31 / $608.79	Professional		$428.08	$460.31	$608.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.07 / $1,059.21 / $1,059.21	Facility		$356.07	$1,059.21	$1,059.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $1,023.46 / $2,065.76	Facility		$246.11	$1,023.46	$2,065.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $717.19 / $936.75	Professional		$179.66	$717.19	$936.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $126.85 / $374.54 / $569.20	Facility		$126.85	$374.54	$569.20
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $283.39 / $410.71 / $593.95	Professional		$283.39	$410.71	$593.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $219.58 / $494.96 / $2,095.14	Facility		$219.58	$494.96	$2,095.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.74 / $246.93 / $538.95	Professional		$194.74	$246.93	$538.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $212.74	Professional		$50.00	$70.00	$212.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $126.85 / $374.54 / $569.20	Facility		$126.85	$374.54	$569.20
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $283.39 / $410.71 / $593.95	Professional		$283.39	$410.71	$593.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $494.96 / $752.04 / $1,179.34	Professional		$494.96	$752.04	$1,179.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $966.72 / $2,095.14	Facility		$246.11	$966.72	$2,095.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $246.11 / $2,498.81	Professional		$179.66	$246.11	$2,498.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $494.96 / $494.96 / $494.96	Professional		$494.96	$494.96	$494.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $395.21 / $494.96 / $494.96	Professional		$395.21	$494.96	$494.96
United Facility/Professional Professional Modifier Low / Median / High Price $164.62 / $246.93 / $494.96	Professional		$164.62	$246.93	$494.96