Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.22 / $233.22 / $233.22	Facility		$233.22	$233.22	$233.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.44 / $233.22 / $387.24	Professional		$144.44	$233.22	$387.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.31 / $508.54 / $841.40	Facility		$462.31	$508.54	$841.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.95 / $429.95 / $568.64	Professional		$429.95	$429.95	$568.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $332.59 / $989.34 / $989.34	Facility		$332.59	$989.34	$989.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $955.91 / $1,930.00	Facility		$232.98	$955.91	$1,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $669.84 / $874.96	Professional		$170.08	$669.84	$874.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $111.68 / $349.83 / $531.66	Facility		$111.68	$349.83	$531.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $264.70 / $460.51 / $554.77	Professional		$264.70	$460.51	$554.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.31 / $462.31 / $1,951.09	Facility		$193.31	$462.31	$1,951.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.18 / $260.63 / $503.41	Professional		$184.18	$260.63	$503.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $267.30	Professional		$50.00	$70.00	$267.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $111.68 / $349.83 / $531.66	Facility		$111.68	$349.83	$531.66
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $264.70 / $460.51 / $554.77	Professional		$264.70	$460.51	$554.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $462.31 / $693.47 / $1,037.83	Professional		$462.31	$693.47	$1,037.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $902.96 / $1,951.09	Facility		$232.98	$902.96	$1,951.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $232.98 / $2,288.42	Professional		$170.08	$232.98	$2,288.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $462.31 / $462.31 / $462.31	Professional		$462.31	$462.31	$462.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $462.31 / $462.31 / $462.31	Professional		$462.31	$462.31	$462.31
United Facility/Professional Professional Modifier Low / Median / High Price $153.76 / $230.64 / $462.31	Professional		$153.76	$230.64	$462.31