Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.22 / $302.22 / $302.22	Facility		$302.22	$302.22	$302.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.17 / $302.22 / $478.92	Professional		$252.17	$302.22	$478.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $599.09 / $659.00 / $1,090.33	Facility		$599.09	$659.00	$1,090.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.15 / $557.15 / $736.88	Professional		$557.15	$557.15	$736.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $430.97 / $1,282.05 / $1,282.05	Facility		$430.97	$1,282.05	$1,282.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $1,238.27 / $2,501.02	Facility		$387.54	$1,238.27	$2,501.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $868.13 / $1,133.83	Professional		$282.89	$868.13	$1,133.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $159.11 / $453.33 / $688.95	Facility		$159.11	$453.33	$688.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $343.02 / $599.09 / $718.91	Professional		$343.02	$599.09	$718.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $599.09 / $2,619.48	Facility		$275.42	$599.09	$2,619.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $238.67 / $298.87 / $652.33	Professional		$238.67	$298.87	$652.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $289.97	Professional		$50.00	$70.00	$289.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $159.11 / $453.33 / $688.95	Facility		$159.11	$453.33	$688.95
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $343.02 / $599.09 / $718.91	Professional		$343.02	$599.09	$718.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $599.09 / $921.95 / $1,478.45	Professional		$599.09	$921.95	$1,478.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $1,170.09 / $2,619.48	Facility		$387.54	$1,170.09	$2,619.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $387.54 / $3,585.38	Professional		$282.89	$387.54	$3,585.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $599.09 / $599.09 / $599.09	Professional		$599.09	$599.09	$599.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $599.09 / $599.09 / $599.09	Professional		$599.09	$599.09	$599.09
United Facility/Professional Professional Modifier Low / Median / High Price $223.78 / $298.87 / $599.09	Professional		$223.78	$298.87	$599.09