Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.91 / $384.91 / $384.91	Facility		$384.91	$384.91	$384.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.39 / $384.91 / $639.09	Professional		$238.39	$384.91	$639.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $763.01 / $839.31 / $1,388.68	Facility		$763.01	$839.31	$1,388.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.92 / $709.60 / $938.50	Professional		$659.92	$709.60	$938.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $548.91 / $1,632.84 / $1,632.84	Facility		$548.91	$1,632.84	$1,632.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $1,577.84 / $3,185.41	Facility		$493.58	$1,577.84	$3,185.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $1,105.78 / $1,444.06	Professional		$360.31	$1,105.78	$1,444.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $184.31 / $577.37 / $877.46	Facility		$184.31	$577.37	$877.46
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $436.88 / $655.64 / $915.61	Professional		$436.88	$655.64	$915.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $319.05 / $763.01 / $3,080.66	Facility		$319.05	$763.01	$3,080.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.98 / $430.15 / $830.82	Professional		$303.98	$430.15	$830.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $308.95	Professional		$50.00	$70.00	$308.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $184.31 / $577.37 / $877.46	Facility		$184.31	$577.37	$877.46
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $436.88 / $655.64 / $915.61	Professional		$436.88	$655.64	$915.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $763.01 / $1,144.52 / $1,713.32	Professional		$763.01	$1,144.52	$1,713.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $1,490.26 / $3,080.66	Facility		$493.58	$1,490.26	$3,080.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $493.58 / $3,353.09	Professional		$360.31	$493.58	$3,353.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $763.01 / $763.01 / $763.01	Professional		$763.01	$763.01	$763.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $763.01 / $763.01 / $763.01	Professional		$763.01	$763.01	$763.01
United Facility/Professional Facility Modifier Low / Median / High Price $915.61 / $915.61 / $915.61	Facility		$915.61	$915.61	$915.61
United Facility/Professional Professional Modifier Low / Median / High Price $253.77 / $380.66 / $676.49	Professional		$253.77	$380.66	$676.49