Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.64 / $306.64 / $306.64	Facility		$306.64	$306.64	$306.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $306.64 / $457.75	Professional		$206.00	$306.64	$457.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $607.86 / $668.65 / $1,106.31	Facility		$607.86	$668.65	$1,106.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.73 / $565.30 / $747.66	Professional		$525.73	$565.30	$747.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $437.29 / $1,300.82 / $1,300.82	Facility		$437.29	$1,300.82	$1,300.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.44 / $1,257.03 / $2,537.41	Facility		$328.44	$1,257.03	$2,537.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.76 / $880.78 / $1,150.41	Professional		$239.76	$880.78	$1,150.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.29 / $459.96 / $699.04	Facility		$169.29	$459.96	$699.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $348.04 / $607.86 / $729.43	Professional		$348.04	$607.86	$729.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $293.04 / $607.86 / $2,802.95	Facility		$293.04	$607.86	$2,802.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.45 / $311.92 / $661.88	Professional		$242.45	$311.92	$661.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $507.31	Professional		$50.00	$70.00	$507.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $169.29 / $459.96 / $699.04	Facility		$169.29	$459.96	$699.04
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $348.04 / $607.86 / $729.43	Professional		$348.04	$607.86	$729.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $607.86 / $935.46 / $1,573.80	Professional		$607.86	$935.46	$1,573.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $328.44 / $1,187.22 / $2,802.95	Facility		$328.44	$1,187.22	$2,802.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.76 / $328.44 / $3,204.58	Professional		$239.76	$328.44	$3,204.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $607.86 / $607.86 / $607.86	Professional		$607.86	$607.86	$607.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $485.35 / $607.86 / $607.86	Professional		$485.35	$607.86	$607.86
United Facility/Professional Professional Modifier Low / Median / High Price $218.52 / $303.25 / $581.23	Professional		$218.52	$303.25	$581.23