Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.08 / $479.08 / $479.08	Facility		$479.08	$479.08	$479.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.76 / $479.08 / $690.85	Professional		$363.76	$479.08	$690.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.69 / $1,044.66 / $1,728.44	Facility		$949.69	$1,044.66	$1,728.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $821.38 / $883.21 / $1,168.10	Professional		$821.38	$883.21	$1,168.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $683.21 / $2,032.34 / $2,032.34	Facility		$683.21	$2,032.34	$2,032.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.80 / $1,963.40 / $3,963.57	Facility		$550.80	$1,963.40	$3,963.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $1,376.25 / $1,797.36	Professional		$402.09	$1,376.25	$1,797.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $246.70 / $718.62 / $1,092.14	Facility		$246.70	$718.62	$1,092.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $543.77 / $949.69 / $1,139.63	Professional		$543.77	$949.69	$1,139.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $427.06 / $949.69 / $4,148.45	Facility		$427.06	$949.69	$4,148.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $378.35 / $473.79 / $1,034.09	Professional		$378.35	$473.79	$1,034.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $321.73	Professional		$50.00	$70.00	$321.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $246.70 / $718.62 / $1,092.14	Facility		$246.70	$718.62	$1,092.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $543.77 / $949.69 / $1,139.63	Professional		$543.77	$949.69	$1,139.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $949.69 / $1,461.55 / $2,292.44	Professional		$949.69	$1,461.55	$2,292.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $550.80 / $1,854.86 / $4,148.45	Facility		$550.80	$1,854.86	$4,148.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $550.80 / $5,915.12	Professional		$402.09	$550.80	$5,915.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $949.69 / $949.69 / $949.69	Professional		$949.69	$949.69	$949.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $949.69 / $949.69 / $949.69	Professional		$949.69	$949.69	$949.69
United Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $473.79 / $949.69	Professional		$318.45	$473.79	$949.69