Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.77 / $376.77 / $376.77	Facility		$376.77	$376.77	$376.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.55 / $376.77 / $563.20	Professional		$296.55	$376.77	$563.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.86 / $821.55 / $1,359.29	Facility		$746.86	$821.55	$1,359.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.95 / $694.58 / $918.63	Professional		$645.95	$694.58	$918.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.29 / $1,598.28 / $1,598.28	Facility		$537.29	$1,598.28	$1,598.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.66 / $1,544.08 / $3,116.83	Facility		$523.66	$1,544.08	$3,116.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $1,243.88 / $1,413.50	Professional		$382.28	$1,243.88	$1,413.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $201.12 / $565.16 / $858.89	Facility		$201.12	$565.16	$858.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $427.62 / $746.86 / $896.23	Professional		$427.62	$746.86	$896.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $348.15 / $746.86 / $3,359.73	Facility		$348.15	$746.86	$3,359.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $297.54 / $375.42 / $813.25	Professional		$297.54	$375.42	$813.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $285.76	Professional		$50.00	$70.00	$285.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $201.12 / $565.16 / $858.89	Facility		$201.12	$565.16	$858.89
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $427.62 / $746.86 / $896.23	Professional		$427.62	$746.86	$896.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $746.86 / $1,149.41 / $1,868.89	Professional		$746.86	$1,149.41	$1,868.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $523.66 / $1,458.72 / $3,359.73	Facility		$523.66	$1,458.72	$3,359.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $523.66 / $3,996.53	Professional		$382.28	$523.66	$3,996.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $746.86 / $746.86 / $746.86	Professional		$746.86	$746.86	$746.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $596.34 / $746.86 / $746.86	Professional		$596.34	$746.86	$746.86
United Facility/Professional Professional Modifier Low / Median / High Price $259.62 / $372.61 / $746.86	Professional		$259.62	$372.61	$746.86