Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.44 / $510.44 / $510.44	Facility		$510.44	$510.44	$510.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.14 / $510.44 / $917.57	Professional		$483.14	$510.44	$917.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,011.85 / $1,113.04 / $1,841.57	Facility		$1,011.85	$1,113.04	$1,841.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.51 / $941.02 / $1,244.57	Professional		$930.51	$941.02	$1,244.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $727.93 / $2,165.36 / $2,165.36	Facility		$727.93	$2,165.36	$2,165.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $2,234.09 / $4,223.88	Facility		$710.11	$2,234.09	$4,223.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $1,685.20 / $1,915.00	Professional		$518.38	$1,685.20	$1,915.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $291.14 / $765.66 / $1,163.63	Facility		$291.14	$765.66	$1,163.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $579.38 / $987.62 / $1,214.22	Professional		$579.38	$987.62	$1,214.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $503.97 / $1,011.85 / $4,711.96	Facility		$503.97	$1,011.85	$4,711.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.94 / $536.41 / $1,101.77	Professional		$446.94	$536.41	$1,101.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $369.06	Professional		$50.00	$70.00	$369.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $291.14 / $765.66 / $1,163.63	Facility		$291.14	$765.66	$1,163.63
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $579.38 / $987.62 / $1,214.22	Professional		$579.38	$987.62	$1,214.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,011.85 / $1,557.21 / $2,705.98	Professional		$1,011.85	$1,557.21	$2,705.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $1,976.26 / $4,711.96	Facility		$710.11	$1,976.26	$4,711.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $710.11 / $5,094.49	Professional		$518.38	$710.11	$5,094.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.85 / $1,011.85 / $1,011.85	Professional		$1,011.85	$1,011.85	$1,011.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $807.96 / $1,011.85 / $1,011.85	Professional		$807.96	$1,011.85	$1,011.85
United Facility/Professional Professional Modifier Low / Median / High Price $375.81 / $504.80 / $897.12	Professional		$375.81	$504.80	$897.12