Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.33 / $334.33 / $334.33	Facility		$334.33	$334.33	$334.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.39 / $334.33 / $555.12	Professional		$224.39	$334.33	$555.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $662.75 / $729.03 / $1,206.21	Facility		$662.75	$729.03	$1,206.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.21 / $616.36 / $815.18	Professional		$573.21	$616.36	$815.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $476.79 / $1,418.29 / $1,418.29	Facility		$476.79	$1,418.29	$1,418.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.88 / $1,370.53 / $2,766.94	Facility		$393.88	$1,370.53	$2,766.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $1,103.80 / $1,254.31	Professional		$287.52	$1,103.80	$1,254.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.49 / $501.50 / $762.16	Facility		$173.49	$501.50	$762.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $379.47 / $661.30 / $795.30	Professional		$379.47	$661.30	$795.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $300.31 / $662.75 / $2,807.91	Facility		$300.31	$662.75	$2,807.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $298.54 / $404.80 / $721.66	Professional		$298.54	$404.80	$721.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $447.26	Professional		$50.00	$70.00	$447.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $173.49 / $501.50 / $762.16	Facility		$173.49	$501.50	$762.16
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $379.47 / $661.30 / $795.30	Professional		$379.47	$661.30	$795.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $662.75 / $1,019.95 / $1,612.95	Professional		$662.75	$1,019.95	$1,612.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $393.88 / $1,294.44 / $2,807.91	Facility		$393.88	$1,294.44	$2,807.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $393.88 / $3,174.24	Professional		$287.52	$393.88	$3,174.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $662.75 / $662.75 / $662.75	Professional		$662.75	$662.75	$662.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $662.75 / $662.75 / $662.75	Professional		$662.75	$662.75	$662.75
United Facility/Professional Professional Modifier Low / Median / High Price $223.95 / $358.31 / $662.75	Professional		$223.95	$358.31	$662.75