Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.13 / $243.13 / $243.13	Facility		$243.13	$243.13	$243.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.77 / $243.13 / $403.69	Professional		$181.77	$243.13	$403.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.97 / $530.16 / $877.19	Facility		$481.97	$530.16	$877.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.23 / $448.23 / $592.82	Professional		$448.23	$448.23	$592.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.72 / $1,031.42 / $1,031.42	Facility		$346.72	$1,031.42	$1,031.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $996.24 / $2,011.17	Facility		$311.77	$996.24	$2,011.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $698.44 / $912.16	Professional		$227.60	$698.44	$912.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $364.70 / $554.27	Facility		$140.54	$364.70	$554.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $275.97 / $481.97 / $578.36	Professional		$275.97	$481.97	$578.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $243.13 / $481.97 / $2,310.33	Facility		$243.13	$481.97	$2,310.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.69 / $322.04 / $524.79	Professional		$217.69	$322.04	$524.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $294.48	Professional		$50.00	$70.00	$294.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $364.70 / $554.27	Facility		$140.54	$364.70	$554.27
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $275.97 / $481.97 / $578.36	Professional		$275.97	$481.97	$578.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $481.97 / $741.71 / $1,305.81	Professional		$481.97	$741.71	$1,305.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $941.34 / $2,310.33	Facility		$311.77	$941.34	$2,310.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $311.77 / $2,879.96	Professional		$227.60	$311.77	$2,879.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $481.97 / $481.97 / $481.97	Professional		$481.97	$481.97	$481.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $481.97 / $481.97 / $481.97	Professional		$481.97	$481.97	$481.97
United Facility/Professional Professional Modifier Low / Median / High Price $181.41 / $290.26 / $427.32	Professional		$181.41	$290.26	$427.32