Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.26 / $251.26 / $487.34	Facility		$251.26	$251.26	$487.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.82 / $278.33 / $425.71	Professional		$237.82	$278.33	$425.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $498.07 / $547.88 / $906.49	Facility		$498.07	$547.88	$906.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.26 / $463.21 / $612.62	Professional		$448.26	$463.21	$612.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $358.32 / $1,065.86 / $1,065.86	Facility		$358.32	$1,065.86	$1,065.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $1,100.02 / $2,078.35	Facility		$278.04	$1,100.02	$2,078.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.04 / $583.28 / $942.64	Professional		$278.04	$583.28	$942.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $396.53 / $572.78	Facility		$143.31	$396.53	$572.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $285.18 / $486.17 / $597.67	Professional		$285.18	$486.17	$597.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.26 / $545.23 / $2,319.50	Facility		$251.26	$545.23	$2,319.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.01 / $260.91 / $597.67	Professional		$220.01	$260.91	$597.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $226.80	Professional		$50.00	$70.00	$226.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $398.46 / $572.78	Facility		$143.31	$398.46	$572.78
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $285.18 / $486.17 / $597.67	Professional		$285.18	$486.17	$597.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $498.07 / $766.53 / $1,331.91	Professional		$498.07	$766.53	$1,331.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $972.80 / $2,319.50	Facility		$278.04	$972.80	$2,319.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $278.04 / $2,507.67	Professional		$202.97	$278.04	$2,507.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $498.07 / $498.07 / $498.07	Professional		$498.07	$498.07	$498.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $397.70 / $498.07 / $498.07	Professional		$397.70	$498.07	$498.07
United Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $220.01 / $290.45	Facility		$0.35	$220.01	$290.45
United Facility/Professional Professional Modifier Low / Median / High Price $184.99 / $248.48 / $542.34	Professional		$184.99	$248.48	$542.34