Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.82 / $275.82 / $275.82	Facility		$275.82	$275.82	$275.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.19 / $275.82 / $429.58	Professional		$226.19	$275.82	$429.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $546.76 / $601.44 / $995.10	Facility		$546.76	$601.44	$995.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.08 / $508.49 / $672.51	Professional		$492.08	$508.49	$672.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $393.35 / $1,170.07 / $1,170.07	Facility		$393.35	$1,170.07	$1,170.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.62 / $1,130.39 / $2,282.69	Facility		$297.62	$1,130.39	$2,282.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $792.19 / $1,034.80	Professional		$217.26	$792.19	$1,034.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $153.41 / $413.73 / $628.77	Facility		$153.41	$413.73	$628.77
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $313.06 / $546.76 / $656.11	Professional		$313.06	$546.76	$656.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $265.55 / $546.76 / $2,544.94	Facility		$265.55	$546.76	$2,544.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $219.70 / $282.64 / $595.36	Professional		$219.70	$282.64	$595.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $215.11	Professional		$50.00	$70.00	$215.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $153.41 / $413.73 / $628.77	Facility		$153.41	$413.73	$628.77
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $313.06 / $546.76 / $656.11	Professional		$313.06	$546.76	$656.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $546.76 / $841.45 / $1,426.26	Professional		$546.76	$841.45	$1,426.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $297.62 / $1,067.90 / $2,544.94	Facility		$297.62	$1,067.90	$2,544.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $297.62 / $3,633.98	Professional		$217.26	$297.62	$3,633.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $546.76 / $546.76 / $546.76	Professional		$546.76	$546.76	$546.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $546.76 / $546.76 / $546.76	Professional		$546.76	$546.76	$546.76
United Facility/Professional Professional Modifier Low / Median / High Price $186.06 / $274.63 / $522.82	Professional		$186.06	$274.63	$522.82