Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.32 / $305.36 / $330.00	Facility		$280.32	$305.36	$330.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.12 / $287.79 / $670.44	Professional		$242.12	$287.79	$670.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $555.67 / $611.25 / $1,011.34	Facility		$555.67	$611.25	$1,011.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.60 / $516.78 / $683.48	Professional		$480.60	$516.78	$683.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $399.76 / $1,189.16 / $1,189.16	Facility		$399.76	$1,189.16	$1,189.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.31 / $1,149.15 / $2,319.08	Facility		$293.31	$1,149.15	$2,319.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.31 / $805.31 / $1,051.68	Professional		$293.31	$805.31	$1,051.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $140.30 / $417.68 / $639.03	Facility		$140.30	$417.68	$639.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $318.18 / $555.67 / $666.82	Professional		$318.18	$555.67	$666.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $242.86 / $555.67 / $2,269.46	Facility		$242.86	$555.67	$2,269.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.38 / $277.23 / $605.07	Professional		$215.38	$277.23	$605.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $237.26	Professional		$50.00	$70.00	$237.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $140.30 / $420.48 / $639.03	Facility		$140.30	$420.48	$639.03
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $318.18 / $555.67 / $666.82	Professional		$318.18	$555.67	$666.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $555.67 / $833.52 / $1,303.81	Professional		$555.67	$833.52	$1,303.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $293.31 / $1,085.32 / $2,269.46	Facility		$293.31	$1,085.32	$2,269.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $293.31 / $2,787.89	Professional		$214.12	$293.31	$2,787.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $555.67 / $555.67 / $555.67	Professional		$555.67	$555.67	$555.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $443.71 / $555.67 / $555.67	Professional		$443.71	$555.67	$555.67
United Facility/Professional Facility Modifier Low / Median / High Price $696.97 / $696.97 / $696.97	Facility		$696.97	$696.97	$696.97
United Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $277.23 / $531.36	Professional		$181.10	$277.23	$531.36