Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.19 / $296.19 / $296.19	Facility		$296.19	$296.19	$296.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $296.19 / $494.16	Professional		$260.20	$296.19	$494.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $587.14 / $645.85 / $1,068.58	Facility		$587.14	$645.85	$1,068.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.41 / $546.04 / $722.18	Professional		$528.41	$546.04	$722.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $422.38 / $1,256.48 / $1,256.48	Facility		$422.38	$1,256.48	$1,256.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.34 / $1,213.86 / $2,450.64	Facility		$335.34	$1,213.86	$2,450.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $850.78 / $1,111.21	Professional		$244.80	$850.78	$1,111.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $172.85 / $444.29 / $675.21	Facility		$172.85	$444.29	$675.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $336.18 / $587.14 / $715.55	Professional		$336.18	$587.14	$715.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $296.19 / $587.14 / $2,852.46	Facility		$296.19	$587.14	$2,852.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $247.55 / $312.35 / $662.87	Professional		$247.55	$312.35	$662.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $273.64	Professional		$50.00	$70.00	$273.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $172.85 / $444.29 / $675.21	Facility		$172.85	$444.29	$675.21
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $336.18 / $587.14 / $715.55	Professional		$336.18	$587.14	$715.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $587.14 / $903.58 / $1,606.92	Professional		$587.14	$903.58	$1,606.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $335.34 / $1,146.76 / $2,852.46	Facility		$335.34	$1,146.76	$2,852.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $335.34 / $4,130.01	Professional		$244.80	$335.34	$4,130.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $587.14 / $587.14 / $587.14	Professional		$587.14	$587.14	$587.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $587.14 / $587.14 / $587.14	Professional		$587.14	$587.14	$587.14
United Facility/Professional Professional Modifier Low / Median / High Price $223.11 / $292.91 / $520.57	Professional		$223.11	$292.91	$520.57