Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.98 / $343.98 / $343.98	Facility		$343.98	$343.98	$343.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.57 / $343.98 / $618.30	Professional		$325.57	$343.98	$618.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $681.87 / $750.06 / $1,241.00	Facility		$681.87	$750.06	$1,241.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.67 / $634.14 / $838.70	Professional		$613.67	$634.14	$838.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $490.54 / $1,459.20 / $1,459.20	Facility		$490.54	$1,459.20	$1,459.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $1,505.75 / $2,846.71	Facility		$380.63	$1,505.75	$2,846.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $988.13 / $1,290.50	Professional		$277.86	$988.13	$1,290.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $196.19 / $515.97 / $784.15	Facility		$196.19	$515.97	$784.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $390.42 / $665.55 / $818.24	Professional		$390.42	$665.55	$818.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $339.62 / $681.87 / $3,175.29	Facility		$339.62	$681.87	$3,175.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $297.75 / $357.19 / $742.48	Professional		$297.75	$357.19	$742.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $58.40 / $85.00	Professional		$37.21	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $196.19 / $515.97 / $784.15	Facility		$196.19	$515.97	$784.15
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $390.42 / $665.55 / $818.24	Professional		$390.42	$665.55	$818.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $681.87 / $1,049.39 / $1,823.72	Professional		$681.87	$1,049.39	$1,823.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $1,331.78 / $3,175.29	Facility		$380.63	$1,331.78	$3,175.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $380.63 / $3,432.91	Professional		$277.86	$380.63	$3,432.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $681.87 / $681.87 / $681.87	Professional		$681.87	$681.87	$681.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $681.87 / $681.87 / $681.87	Professional		$681.87	$681.87	$681.87
United Facility/Professional Professional Modifier Low / Median / High Price $253.25 / $351.22 / $681.87	Professional		$253.25	$351.22	$681.87