Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.23 / $243.23 / $243.23	Facility		$243.23	$243.23	$243.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.26 / $243.23 / $403.85	Professional		$181.26	$243.23	$403.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.15 / $530.37 / $877.51	Facility		$482.15	$530.37	$877.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.93 / $448.40 / $593.04	Professional		$433.93	$448.40	$593.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.86 / $1,031.80 / $1,031.80	Facility		$346.86	$1,031.80	$1,031.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $997.16 / $2,012.57	Facility		$274.54	$997.16	$2,012.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $803.01 / $912.51	Professional		$200.41	$803.01	$912.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $140.13 / $364.85 / $554.47	Facility		$140.13	$364.85	$554.47
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $276.06 / $454.99 / $578.58	Professional		$276.06	$454.99	$578.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $242.58 / $482.15 / $2,359.33	Facility		$242.58	$482.15	$2,359.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.18 / $322.14 / $525.00	Professional		$217.18	$322.14	$525.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $293.64	Professional		$50.00	$70.00	$293.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $140.13 / $364.85 / $554.47	Facility		$140.13	$364.85	$554.47
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $276.06 / $454.99 / $578.58	Professional		$276.06	$454.99	$578.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $482.15 / $742.00 / $1,302.80	Professional		$482.15	$742.00	$1,302.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $941.70 / $2,359.33	Facility		$274.54	$941.70	$2,359.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $274.54 / $2,871.79	Professional		$200.41	$274.54	$2,871.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $482.15 / $482.15 / $482.15	Professional		$482.15	$482.15	$482.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $482.15 / $482.15 / $482.15	Professional		$482.15	$482.15	$482.15
United Facility/Professional Professional Modifier Low / Median / High Price $169.97 / $289.43 / $427.48	Professional		$169.97	$289.43	$427.48