Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.74 / $340.74 / $340.74	Facility		$340.74	$340.74	$340.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $340.74 / $570.86	Professional		$282.89	$340.74	$570.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $675.45 / $743.00 / $1,229.32	Facility		$675.45	$743.00	$1,229.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.90 / $628.16 / $830.80	Professional		$607.90	$628.16	$830.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $485.91 / $1,445.46 / $1,445.46	Facility		$485.91	$1,445.46	$1,445.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.96 / $1,396.80 / $2,818.72	Facility		$436.96	$1,396.80	$2,818.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $978.75 / $1,278.33	Professional		$318.98	$978.75	$1,278.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $195.58 / $511.11 / $776.77	Facility		$195.58	$511.11	$776.77
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $386.76 / $659.24 / $810.54	Professional		$386.76	$659.24	$810.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.56 / $675.45 / $3,169.20	Facility		$338.56	$675.45	$3,169.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $307.02 / $451.33 / $735.48	Professional		$307.02	$451.33	$735.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $455.84	Professional		$50.00	$70.00	$455.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $195.58 / $511.11 / $776.77	Facility		$195.58	$511.11	$776.77
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $386.76 / $659.24 / $810.54	Professional		$386.76	$659.24	$810.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $675.45 / $1,039.50 / $1,817.70	Professional		$675.45	$1,039.50	$1,817.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $436.96 / $1,319.24 / $3,169.20	Facility		$436.96	$1,319.24	$3,169.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $436.96 / $3,390.18	Professional		$318.98	$436.96	$3,390.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $675.45 / $675.45 / $675.45	Professional		$675.45	$675.45	$675.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $675.45 / $675.45 / $675.45	Professional		$675.45	$675.45	$675.45
United Facility/Professional Professional Modifier Low / Median / High Price $252.47 / $403.94 / $579.29	Professional		$252.47	$403.94	$579.29