Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.64 / $276.64 / $536.90	Facility		$276.64	$276.64	$536.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.85 / $294.22 / $381.04	Professional		$233.85	$294.22	$381.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.39 / $603.23 / $998.07	Facility		$548.39	$603.23	$998.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.52 / $510.00 / $674.51	Professional		$488.52	$510.00	$674.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $394.51 / $1,173.55 / $1,173.55	Facility		$394.51	$1,173.55	$1,173.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.03 / $1,134.14 / $2,289.69	Facility		$336.03	$1,134.14	$2,289.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $913.33 / $1,037.88	Professional		$245.30	$913.33	$1,037.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $157.77 / $414.96 / $630.65	Facility		$157.77	$414.96	$630.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $313.99 / $535.20 / $658.07	Professional		$313.99	$535.20	$658.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $273.12 / $575.80 / $2,563.00	Facility		$273.12	$575.80	$2,563.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $225.96 / $285.12 / $597.13	Professional		$225.96	$285.12	$597.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $353.40	Professional		$50.00	$70.00	$353.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $157.77 / $414.96 / $630.65	Facility		$157.77	$414.96	$630.65
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $313.99 / $535.20 / $658.07	Professional		$313.99	$535.20	$658.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $548.39 / $843.96 / $1,466.41	Professional		$548.39	$843.96	$1,466.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $336.03 / $1,071.08 / $2,563.00	Facility		$336.03	$1,071.08	$2,563.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $336.03 / $2,760.81	Professional		$245.30	$336.03	$2,760.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $548.39 / $548.39 / $548.39	Professional		$548.39	$548.39	$548.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $548.39 / $548.39 / $548.39	Professional		$548.39	$548.39	$548.39
United Facility/Professional Professional Modifier Low / Median / High Price $203.66 / $285.12 / $548.39	Professional		$203.66	$285.12	$548.39