Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.92 / $284.92 / $284.92	Facility		$284.92	$284.92	$284.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $295.67 / $392.43	Professional		$102.00	$295.67	$392.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $564.79 / $621.28 / $1,027.94	Facility		$564.79	$621.28	$1,027.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.33 / $525.26 / $694.70	Professional		$519.33	$525.26	$694.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $406.30 / $1,208.67 / $1,208.67	Facility		$406.30	$1,208.67	$1,208.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $1,247.28 / $2,356.87	Facility		$315.25	$1,247.28	$2,356.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $818.44 / $1,068.93	Professional		$230.13	$818.44	$1,068.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.49 / $427.38 / $649.52	Facility		$162.49	$427.38	$649.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $323.38 / $551.21 / $677.76	Professional		$323.38	$551.21	$677.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.27 / $564.79 / $2,629.88	Facility		$281.27	$564.79	$2,629.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.61 / $295.85 / $614.99	Professional		$246.61	$295.85	$614.99
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 $162.49 / $427.38 / $649.52	Facility		$162.49	$427.38	$649.52
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $323.38 / $551.21 / $677.76	Professional		$323.38	$551.21	$677.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $564.79 / $869.20 / $1,510.57	Professional		$564.79	$869.20	$1,510.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $1,103.11 / $2,629.88	Facility		$315.25	$1,103.11	$2,629.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $315.25 / $2,843.18	Professional		$230.13	$315.25	$2,843.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $564.79 / $564.79 / $564.79	Professional		$564.79	$564.79	$564.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $450.96 / $564.79 / $564.79	Professional		$450.96	$564.79	$564.79
United Facility/Professional Professional Modifier Low / Median / High Price $209.75 / $281.77 / $540.04	Professional		$209.75	$281.77	$540.04