Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.02 / $284.02 / $284.02	Facility		$284.02	$284.02	$284.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.28 / $284.02 / $479.13	Professional		$252.28	$284.02	$479.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $563.04 / $619.34 / $1,024.73	Facility		$563.04	$619.34	$1,024.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.63 / $523.63 / $692.53	Professional		$523.63	$523.63	$692.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $405.05 / $1,204.91 / $1,204.91	Facility		$405.05	$1,204.91	$1,204.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $1,164.15 / $2,349.87	Facility		$313.79	$1,164.15	$2,349.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $816.09 / $1,065.58	Professional		$229.07	$816.09	$1,065.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $161.74 / $423.20 / $647.50	Facility		$161.74	$423.20	$647.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $322.38 / $563.04 / $675.65	Professional		$322.38	$563.04	$675.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $279.98 / $563.04 / $2,738.27	Facility		$279.98	$563.04	$2,738.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $231.64 / $294.94 / $626.33	Professional		$231.64	$294.94	$626.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $261.50	Professional		$50.00	$70.00	$261.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $161.74 / $426.05 / $647.50	Facility		$161.74	$426.05	$647.50
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $322.38 / $563.04 / $675.65	Professional		$322.38	$563.04	$675.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $563.04 / $866.50 / $1,503.54	Professional		$563.04	$866.50	$1,503.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $1,099.68 / $2,738.27	Facility		$313.79	$1,099.68	$2,738.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $313.79 / $3,766.55	Professional		$229.07	$313.79	$3,766.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $563.04 / $563.04 / $563.04	Professional		$563.04	$563.04	$563.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $449.57 / $563.04 / $563.04	Professional		$449.57	$563.04	$563.04
United Facility/Professional Professional Modifier Low / Median / High Price $208.78 / $289.55 / $563.04	Professional		$208.78	$289.55	$563.04