Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.70 / $270.70 / $270.70	Facility		$270.70	$270.70	$270.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.70 / $339.77 / $645.28	Professional		$270.70	$339.77	$645.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $536.60 / $590.26 / $976.61	Facility		$536.60	$590.26	$976.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.04 / $499.04 / $660.01	Professional		$499.04	$499.04	$660.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $386.03 / $1,148.32 / $1,148.32	Facility		$386.03	$1,148.32	$1,148.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $1,109.75 / $2,239.30	Facility		$347.13	$1,109.75	$2,239.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $777.66 / $1,015.58	Professional		$253.40	$777.66	$1,015.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $172.83 / $406.05 / $617.09	Facility		$172.83	$406.05	$617.09
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $307.25 / $536.60 / $715.47	Professional		$307.25	$536.60	$715.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $270.70 / $534.14 / $2,901.23	Facility		$270.70	$534.14	$2,901.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $243.07 / $312.33 / $605.82	Professional		$243.07	$312.33	$605.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $172.83 / $406.05 / $617.09	Facility		$172.83	$406.05	$617.09
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $307.25 / $536.60 / $715.47	Professional		$307.25	$536.60	$715.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $536.60 / $825.82 / $1,605.92	Professional		$536.60	$825.82	$1,605.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $1,048.06 / $2,901.23	Facility		$347.13	$1,048.06	$2,901.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $347.13 / $4,865.13	Professional		$253.40	$347.13	$4,865.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $536.60 / $536.60 / $536.60	Professional		$536.60	$536.60	$536.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $536.60 / $536.60 / $536.60	Professional		$536.60	$536.60	$536.60
United Facility/Professional Professional Modifier Low / Median / High Price $209.61 / $307.99 / $536.60	Professional		$209.61	$307.99	$536.60