Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.52 / $591.52 / $591.52	Facility		$591.52	$591.52	$591.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.59 / $591.52 / $819.65	Professional		$431.59	$591.52	$819.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,172.57 / $1,289.83 / $2,134.08	Facility		$1,172.57	$1,289.83	$2,134.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,055.31 / $1,090.49 / $1,442.26	Professional		$1,055.31	$1,090.49	$1,442.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $843.54 / $2,509.30 / $2,509.30	Facility		$843.54	$2,509.30	$2,509.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.88 / $2,424.00 / $4,894.28	Facility		$567.88	$2,424.00	$4,894.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $1,952.89 / $2,219.19	Professional		$414.55	$1,952.89	$2,219.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $292.70 / $887.28 / $1,348.46	Facility		$292.70	$887.28	$1,348.46
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $671.38 / $936.60 / $1,407.08	Professional		$671.38	$936.60	$1,407.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $506.67 / $1,172.57 / $4,877.45	Facility		$506.67	$1,172.57	$4,877.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $449.35 / $584.98 / $1,276.78	Professional		$449.35	$584.98	$1,276.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $704.98	Professional		$50.00	$70.00	$704.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $292.70 / $887.28 / $1,348.46	Facility		$292.70	$887.28	$1,348.46
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $671.38 / $936.60 / $1,407.08	Professional		$671.38	$936.60	$1,407.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,172.57 / $1,758.86 / $2,720.03	Professional		$1,172.57	$1,758.86	$2,720.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $567.88 / $2,290.17 / $4,877.45	Facility		$567.88	$2,290.17	$4,877.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $567.88 / $5,852.00	Professional		$414.55	$567.88	$5,852.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,172.57 / $1,172.57 / $1,172.57	Professional		$1,172.57	$1,172.57	$1,172.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,172.57 / $1,172.57 / $1,172.57	Professional		$1,172.57	$1,172.57	$1,172.57
United Facility/Professional Professional Modifier Low / Median / High Price $389.99 / $584.98 / $1,039.61	Professional		$389.99	$584.98	$1,039.61