Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.41 / $245.41 / $245.41	Facility		$245.41	$245.41	$245.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.35 / $245.41 / $372.90	Professional		$196.35	$245.41	$372.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.48 / $535.13 / $885.39	Facility		$486.48	$535.13	$885.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.83 / $452.43 / $598.37	Professional		$437.83	$452.43	$598.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $349.97 / $1,041.07 / $1,041.07	Facility		$349.97	$1,041.07	$1,041.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $1,005.62 / $2,030.77	Facility		$273.20	$1,005.62	$2,030.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $705.00 / $920.70	Professional		$199.44	$705.00	$920.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $368.12 / $559.45	Facility		$133.16	$368.12	$559.45
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $278.56 / $486.48 / $583.78	Professional		$278.56	$486.48	$583.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $230.52 / $486.48 / $2,218.98	Facility		$230.52	$486.48	$2,218.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.81 / $245.36 / $529.72	Professional		$193.81	$245.36	$529.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $230.93	Professional		$50.00	$70.00	$230.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $368.12 / $559.45	Facility		$133.16	$368.12	$559.45
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $278.56 / $486.48 / $583.78	Professional		$278.56	$486.48	$583.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $486.48 / $748.68 / $1,237.56	Professional		$486.48	$748.68	$1,237.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $950.16 / $2,218.98	Facility		$273.20	$950.16	$2,218.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $273.20 / $3,204.05	Professional		$199.44	$273.20	$3,204.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $486.48 / $486.48 / $486.48	Professional		$486.48	$486.48	$486.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $388.46 / $486.48 / $486.48	Professional		$388.46	$486.48	$486.48
United Facility/Professional Professional Modifier Low / Median / High Price $171.90 / $242.70 / $431.32	Professional		$171.90	$242.70	$431.32