Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.12 / $343.12 / $343.12	Facility		$343.12	$343.12	$343.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.70 / $343.12 / $488.46	Professional		$259.70	$343.12	$488.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.18 / $748.20 / $1,237.93	Facility		$680.18	$748.20	$1,237.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $632.57 / $632.57 / $836.62	Professional		$632.57	$632.57	$836.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.31 / $1,455.59 / $1,455.59	Facility		$489.31	$1,455.59	$1,455.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $1,406.19 / $2,839.72	Facility		$361.45	$1,406.19	$2,839.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $985.78 / $1,287.28	Professional		$263.86	$985.78	$1,287.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $514.67 / $782.21	Facility		$164.30	$514.67	$782.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $389.46 / $680.18 / $816.22	Professional		$389.46	$680.18	$816.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $284.42 / $680.08 / $2,665.73	Facility		$284.42	$680.08	$2,665.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $252.23 / $339.33 / $740.63	Professional		$252.23	$339.33	$740.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $316.33	Professional		$50.00	$70.00	$316.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $514.67 / $782.21	Facility		$164.30	$514.67	$782.21
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $389.46 / $680.18 / $816.22	Professional		$389.46	$680.18	$816.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $680.18 / $1,020.27 / $1,526.63	Professional		$680.18	$1,020.27	$1,526.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $1,328.46 / $2,665.73	Facility		$361.45	$1,328.46	$2,665.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $361.45 / $3,489.30	Professional		$263.86	$361.45	$3,489.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $680.18 / $680.18 / $680.18	Professional		$680.18	$680.18	$680.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $543.11 / $680.18 / $680.18	Professional		$543.11	$680.18	$680.18
United Facility/Professional Professional Modifier Low / Median / High Price $226.22 / $339.33 / $603.04	Professional		$226.22	$339.33	$603.04