Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.64 / $276.64 / $276.64	Facility		$276.64	$276.64	$276.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.82 / $344.89 / $497.19	Professional		$261.82	$344.89	$497.19
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 $504.25 / $510.00 / $674.51	Professional		$504.25	$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 $375.73 / $1,636.00 / $2,289.69	Facility		$375.73	$1,636.00	$2,289.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $807.24 / $1,037.88	Professional		$274.27	$807.24	$1,037.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $276.64 / $436.55 / $658.07	Facility		$276.64	$436.55	$658.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $535.20 / $548.39 / $658.07	Professional		$535.20	$548.39	$658.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $342.80 / $548.39 / $2,563.00	Facility		$342.80	$548.39	$2,563.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.50 / $295.95 / $610.98	Professional		$256.50	$295.95	$610.98
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 $276.64 / $438.71 / $658.07	Facility		$276.64	$438.71	$658.07
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $535.20 / $548.39 / $658.07	Professional		$535.20	$548.39	$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 $375.73 / $1,071.08 / $2,563.00	Facility		$375.73	$1,071.08	$2,563.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $375.73 / $2,760.81	Professional		$274.27	$375.73	$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 / $295.95 / $610.98	Professional		$203.66	$295.95	$610.98